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Kyleena Supply Coding

Question: What is the appropriate HCPCS supply code to report Kyleena (levonorgestrel-releasing intrauterine system) 19.5 mg? Answer: Kyleena™ is an intrauterine device (IUD) that releases a continuous low dose of hormones to prevent pregnancy for up to five years. Insertion of an IUD into the uterus by a healthcare provider is a nonsurgical procedure. According to the […]

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Kyleena HCPCS code

At our college health center, the recently introduced Kyleena™ (levonorgestrel-releasing intrauterine system) 19.5 mg has become a popular IUD choice. There has been no assignment of a specific HCPCS code and per a phone call to Bayer, may not be until 2018.

We are having difficulty with preauthorization using Bayer’s suggested J3490, Unclassified drugs. We think perhaps S4989, Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies) would be the best alternative for coding. We are looking for anyone’s experience with preauthorization or claims for this product.

Cathy Gorka

Medical Billing and Coding