Medicaid Revises Guidelines for IUD J7300

Attention: All Providers

Intrauterine Copper Contraceptive (Paragard, HCPCS Code J7300) – Revised Billing Guidelines

Effective with date of processing August 1, 2012, Paragard intrauterine contraceptive device (IUD), billed with HCPCS code J7300, will require a National Drug Code (NDC) on the claim detail.
If providers have outstanding claims to be submitted – or if adjustments regarding Paragard are outstanding – an NDC must be on the claim for J7300FP if they are processed on or after July 1, 2012, or the claim detail will be denied.
Remember: Paragard IUD, HCPCS code J7300 REQUIRES the FP modifier also on the detail and if purchased at a 340-B price, a “UD” modifier must be placed on the detail.
Refer to the fee schedule for the Physician’s Drug Program on the N.C. Division of Medical Assistance (DMA) Website at http://www.ncdhhs.gov/dma/fee/fee.htm for the latest available fees. Paragard J7300 is now listed with asterisks (***), indicating an NDC is required.

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