What Is CPT Code 58301?
CPT code 58301 is a surgical procedure code that reports the removal of an intrauterine device (IUD) from the uterus. It covers the removal only, not insertion or replacement, and it carries no global period, which means a separately documented service on the same day can often be billed with the correct modifier. Under the 2026 Medicare Physician Fee Schedule, CPT 58301 pays roughly $112 nationally before geographic adjustment.
Removal only, not the device: 58301 reports the removal by itself. Reinsertion needs a separate insertion code, and the IUD supply is billed under its own HCPCS J-code.
Modifiers decide the payment: Use modifier 25 for a separate same-day E/M service, and modifier 51 on the insertion code when you remove and reinsert in one visit.
Match the diagnosis to the reason: Routine removal links to Z30.432, while a complication-driven removal uses a T83.3- code such as T83.32XA for a displaced device.
What Does CPT 58301 Cover?
The AMA defines CPT 58301 as the removal of an intrauterine device. In practice, the code applies whether the removal is a simple in-office pull with visible strings or a harder retrieval after the strings have retracted. The provider visualizes the cervix, locates the strings, and withdraws the device; when the strings are not visible, retrieval may take a cytobrush, an alligator forceps, or ultrasound guidance.
What 58301 does not cover matters just as much. It is not an insertion code, it is not a device supply code, and it is not a routine check of an existing IUD. Each of those is billed differently, and mixing them up is one of the fastest ways to lose revenue on a clean procedure. CPT 58301 also carries a 000 global period, so there is no bundled postoperative window that would absorb a later visit. A specialized biller catches these distinctions automatically, which is one reason practices lean on dedicated OB/GYN billing partners. For a broader look at how gynecologic surgical codes interact with billing rules, see our guide to CPT 58571 for laparoscopic hysterectomy.
How Much Does CPT 58301 Pay in 2026?
Under the 2026 Medicare Physician Fee Schedule, CPT 58301 carries a work RVU of 1.24 and a total RVU near 3.34, which pays about $112 nationally at the 2026 conversion factor of $33.40 before geographic adjustment. Commercial and Medicaid rates vary by contract and plan.
Because 58301 is an office-based procedure with a 000 global period, the physician payment is not diluted by a surgical package, and the Geographic Practice Cost Indices (GPCI) move the final number up or down by locality. Some commercial payers reimburse in a lower band, with published averages in the $60 to $85 range, while others match or exceed the Medicare rate. The practical takeaway is to confirm each payer’s allowed amount, because the spread between a well-negotiated commercial contract and a floor Medicaid rate on the same code adds up fast across a year of LARC volume. For the latest on how the 2027 OB/GYN billing code changes could affect procedure reimbursement, including the new maternity coding framework, see our overview.
CPT 58301 Billing Scenarios
| Clinical Scenario | Codes to Report | Key Modifier | Typical ICD-10 |
|---|---|---|---|
| Routine removal, strings visible | 58301 | None | Z30.432 |
| Removal and new IUD, same visit | 58301, 58300 | 51 on 58300 | Z30.433 |
| Removal plus separate same-day problem visit | 58301, 99202 to 99215 | 25 on the E/M | Reason for visit, then Z30.432 |
| Difficult or ultrasound-guided removal | 58301 | 22 | T83.32XA |
| Practice-supplied device (buy and bill) | 58300, device J-code | None | Z30.430 |
Modifier 22 and modifier 25 both require documentation that stands on its own. A note in the chart that simply lists the modifier is not enough to defend it in an audit.
Losing money on IUD claims usually comes down to modifiers and same-day edits, not the fee schedule. If your removals and reinsertions keep getting underpaid, a specialized OB/GYN billing partner can audit the last few months of your LARC claims and show you exactly where the leaks are. Rates start as low as 2.95%.
Which Modifiers Does CPT 58301 Need?
The code itself is simple; the modifiers are where most 58301 claims win or lose. Treat these five as your working set:
Modifier 25: Signals a significant, separately identifiable E/M service on the same day, such as a problem visit where the provider evaluates pain or bleeding and then removes the device.
Modifier 51: Marks multiple procedures and goes on the insertion code (58300) when a removal and a reinsertion happen in the same session.
Modifier 59 (or XS/XU): Identifies a distinct procedural service when the removal is performed alongside an unrelated procedure.
Modifier 22: Flags increased procedural work, such as a retracted-string or ultrasound-guided removal, and only holds up when the note details the extra effort and risk.
Modifier 76: Reports a repeat removal by the same provider, which is uncommon but occasionally accurate.
Modifier 25 is the one payers scrutinize most, because it is the difference between a bundled visit and two paid line items. In our experience matching providers with billing partners, the practices that lose the most revenue on 58301 are the ones that either never append modifier 25 when they should, or append it without documentation that supports it.
How Do You Bill IUD Removal and Reinsertion Together?
To bill an IUD removal with a same-day reinsertion, report the removal (58301) first because it usually carries the higher work RVU, then the insertion (58300) with modifier 51, plus the device J-code. Link the encounter to Z30.433. Most payers will not pay both procedures, so expect to defend the pairing.
This is the single biggest revenue leak on the code. No National Correct Coding Initiative (NCCI) edit bundles 58300 and 58301, yet most payers still reimburse only one of the two on the same date, and they often pay the lesser-valued code. That can cost a practice a fraction of an RVU per encounter, which compounds quickly across a busy LARC schedule. The operator move is to track which payers pay both and which pay only one, then bill accordingly rather than blindly submitting the pair every time. For the device, remember the supply is separate: the practice bills the J-code that matches the product, for example J7298 for a 52 mg levonorgestrel system or J7300 for a copper device, and most payers want the NDC on the device line. For practices also billing antepartum care, the CPT 59426 billing guide covers the global package rules that interact with office-based procedures.
Which ICD-10 Codes Pair With CPT 58301?
The diagnosis you link to 58301 tells the payer why the device came out, and it drives both coverage and modifier support. Key pairings:
Z30.432: Encounter for removal of intrauterine contraceptive device. Use for routine, planned removal.
Z30.433: Encounter for removal and reinsertion of intrauterine contraceptive device. Use when the same visit includes a new device.
T83.31XA: Mechanical breakdown of intrauterine contraceptive device, initial encounter.
T83.32XA: Displacement of intrauterine contraceptive device, initial encounter. Use for a partially expelled device.
T83.39XA: Other mechanical complication of intrauterine contraceptive device, initial encounter.
Z30.431: Routine IUD check that does not involve removal.
Z97.5: Presence of contraceptive device, documenting the ongoing presence of a device.
Matching a complication code to a documented reason is also what supports a modifier 22 on a genuinely difficult removal.
Why Do CPT 58301 Claims Get Denied?
A code this routine should rarely deny, yet it does, almost always for reasons that have nothing to do with the procedure itself. The recurring culprits:
Missing modifier 25: When a real E/M service happened the same day but no modifier was appended, the payer bundles the visit into the procedure.
Submitting 58300 and 58301 together to a payer that pays only one: Without a strategy for which code to lead with, the lesser-valued code gets paid.
Weak or missing medical necessity: The note never states why the device was removed.
No NDC or wrong J-code: On the device line when a new IUD is placed.
Prior authorization not obtained: Many commercial and Medicaid plans require it for the device, the procedure, or both.
Providers often come to us after losing revenue on IUD claims for months without understanding why. Incomplete documentation sits underneath most of these denials. A note that names the reason for removal, the string status, the retrieval method, and the device is what turns a likely denial into a clean payment.
Frequently Asked Questions
Is CPT 58301 covered by insurance?
Yes, in most cases. Commercial insurers, Medicare, and most Medicaid programs cover CPT 58301 when the removal is medically necessary, and many plans treat IUD services as covered contraceptive or preventive care. Coverage frequency and prior-authorization rules vary by plan, so verify benefits before the visit.
Can you bill 58300 and 58301 on the same day?
There is no NCCI edit that prevents reporting IUD insertion (58300) and removal (58301) on the same date, but most payers reimburse only one of the two, and often the lesser-valued code. Report the removal first, add modifier 51 to the insertion, link Z30.433, and track which payers pay both.
Does CPT 58301 have a global period?
No. CPT 58301 has a 000 global period, which means there is no bundled postoperative window. Related services on other days are billed separately, and a significant same-day E/M service can be reported with modifier 25.
Is the IUD device billed with CPT 58301?
No. Removal by itself has no device charge. The IUD supply is billed under its own HCPCS J-code only when a new device is placed, for example J7298 for a Mirena system or J7300 for a Paragard copper device. That code is reported with the insertion, not the removal.
What documentation supports a CPT 58301 claim?
A defensible 58301 note states the reason for removal (expired device, pain, bleeding, or a complication), whether the strings were visible, the retrieval method, and the device type. If the removal was unusually difficult, the note must describe the added work to support modifier 22.
IUD coding is small in size and large in leakage, and it is only one line on your fee schedule. A billing partner that knows OB/GYN can protect that revenue across every LARC claim, every modifier, and every payer rule. OB/GYN Bill Co is powered by Billing Service Quotes. Matching is 100% free for providers, with rates starting as low as 2.95% and matches typically returned within 30 minutes.
