Summary & Overview
HCPCS S4989: Contraceptive Intrauterine Device and Implant Supplies
HCPCS Level II code S4989 covers the provision of a contraceptive intrauterine device (IUD) and related implants and supplies, documenting supply and implantation of long-acting reversible contraception. This code matters nationally because IUDs and implants are high-impact contraceptive options with implications for preventive care coverage, device supply management, and outpatient procedural billing. Payers commonly address S4989 within women's health, family planning, and preventive services policies, affecting patient access and provider reimbursement workflows.
Key payers considered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and the kinds of benchmarks and policy considerations relevant to S4989. The publication summarizes how S4989 is used on outpatient service lines, what typical billing scenarios involve (device supply and insertion), and which payers are frequently referenced in coverage discussions.
This resource also outlines what readers can expect to learn: national-level billing benchmarks and common policy themes (coverage for contraceptive devices, bundled versus separate payment for supply and insertion), operational considerations for outpatient clinics and ambulatory surgical centers, and potential documentation points to support claims. Data not available in the input will be identified within relevant sections.
Billing Code Overview
HCPCS Level II code S4989 describes a contraceptive intrauterine device (IUD), including implants and supplies. The code represents provision of a long-acting reversible contraceptive device and any associated implantable contraceptive materials furnished as part of the service.
Service type: Contraceptive device supply and implantation
Typical site of service: Outpatient clinic, ambulatory surgical center, or physician office
Clinical & Coding Specifications
Clinical Context
A 28-year-old woman presents to an ambulatory gynecology clinic requesting long-acting reversible contraception. She has completed counseling on options and elects insertion of a progestin intrauterine device. The clinical workflow includes pre-procedure consent and medical history review, assessment for pregnancy with urine hCG if indicated, pelvic exam and visualization of the cervix, cleansing with an antiseptic, cervical stabilization with a tenaculum if needed, measurement of uterine depth with a sound, insertion of the S4989 contraceptive intrauterine device (including device, insertion supplies, and any implantable components), post-insertion speculum removal, brief observation for vasovagal symptoms, provision of aftercare instructions, and scheduling of a follow-up visit in 4–12 weeks for string check. Typical site of service is an ambulatory clinic or outpatient gynecology office; the service type is device insertion and supply bundle for a contraceptive intrauterine device.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Routine claim submission when no modifier applies |
22 |