Summary & Overview
HCPCS Level II J7300: Intrauterine Copper Contraceptive (Paragard)
HCPCS Level II code J7300 denotes the intrauterine copper contraceptive (Paragard) device supply used for long-acting, reversible contraception. Nationally, this code is significant because it affects access to a non-hormonal contraceptive option and interacts with coverage policies, device pricing, and family planning service delivery across payers. Understanding billing and coverage for J7300 helps providers and administrators manage device procurement and patient counseling workflows.
Key payers commonly included in coverage discussions are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find national benchmarks for coverage and reimbursement noted where available, summaries of recent policy changes that affect device coverage, and clinical context around use, typical sites of service, and billing considerations. The publication outlines common billing practices, anticipated documentation needs, and how J7300 fits into contraceptive service lines. Data not provided in the input is noted as unavailable. The goal is to give a concise, practical reference for revenue cycle, clinical leadership, and policy teams seeking to align operations with payer policies and national practices.
Billing Code Overview
HCPCS Level II code J7300 represents an intrauterine copper contraceptive (Paragard) device. This code covers the supply of the copper intrauterine device used for long-acting, reversible contraception.
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Service type: Device supply for contraceptive use
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Typical site of service: Office or clinic setting where intrauterine device placement or provision occurs
Clinical & Coding Specifications
Clinical Context
A 29-year-old nulliparous woman presents to a gynecology clinic requesting long-acting reversible contraception. She desires a non-hormonal option and has no contraindications to an intrauterine device. Past medical history is unremarkable, vital signs are stable, and a pregnancy test is negative. After informed consent, the clinician schedules same-day insertion of an intrauterine copper contraceptive (J7300 - Paragard). The clinical workflow includes pre-procedure counseling and consent, pregnancy test and screening for sexually transmitted infections as indicated, a pelvic exam to assess uterine size and position, preparation of the sterile field, insertion of the device using a speculum and tenaculum, verification of fundal placement, trimming of strings, and post-procedure instructions including warning signs and follow-up. Billing captures the device using HCPCS Level II code J7300; the insertion procedure may be billed separately with appropriate CPT evaluation-and-management or procedural codes as applicable. Typical site of service is an outpatient gynecology clinic or ambulatory surgery center. Typical patient scenario includes routine family planning visit with same-day or scheduled office-based intrauterine device placement for contraception.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default - no modifier |