In short

J7298 is the HCPCS Level II code for levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg. One billing unit is 52 mg.

Code

CMS HCPCS file
HCPCS codeJ7298
Billing unit52 mg
Descriptor
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg
Short descriptor
Mirena, 52 mg
Code set
HCPCS Level II, maintained by CMS
Effective
Jan 1, 2017

The billing unit is read from the descriptor. Confirm it against the CMS file before billing.

Units and claim line

Units = dose given ÷ 52 mg. For example, 5200 mg is 100 units. Enter the dose to get the units and the NDC line for the CMS-1500 and the 837P.

Enter the dose given to build the claim line.

Find the NDC

Med-Code hasn’t mapped J7298 to specific products yet. Search the FDA NDC Directory for the drug named in the descriptor, and check the route and strength match the code.

Search NDCs for Levonorgestrel-releasing intrauterine contraceptive system

J7298: common questions

Is J7298 a CPT code?
No. J7298 is a HCPCS Level II code, maintained by CMS, that identifies the drug supplied. CPT codes are five-digit numbers from the AMA that describe services. Giving the drug, for example an injection or infusion, is usually reported with a separate CPT administration code. CPT codes for drug administration.
What is one billing unit of J7298?
One unit of J7298 is 52 mg, as stated in the code's descriptor. Units to report = dose given ÷ 52 mg. J-code billing units.

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