HCPCS code J7298 — Mirena, 52 mg.
Status: Active.
Effective Jan 1, 2017.
Source: CMS HCPCS Level II.
J7298
ActiveMirena, 52 mg
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg
Category:
Drugs
Section:
J-codes: Drugs Administered Other Than Oral Method
Effective:
Jan 1, 2017
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of J7298 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with J7298 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| J7297 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)