HCPCS Code J7307: Etonogestrel (Contraceptive) Implant System, Including Implant and Supplies

Learn about the HCPCS code J7307 for "Etonogestrel (contraceptive) implant system, including implant and supplies" through this guide.

Use Code

## **What is the HCPCS code J7307 for?** The HCPCS code J7307 is meant to designate the provision of a contraceptive device, specifically an etonogestrel implant system, including the implant and supplies. This implant is inserted subdermally into the inner aspect of the non-dominant upper arm using an applicator. It is a rod-shaped device that releases hormones that suppress ovulation, which prevents pregnancy. It thickens the cervical mucus, which inhibits sperm penetration. It also alters the endometrium to reduce the likelihood of implantation. It is a popular contraceptive choice because it has a 99% success rate of preventing pregnancies. It can also last up to three years without any reductions in the prevention success rate. The insertion and removal of this implant should only be done by a highly-trained healthcare professional due to potential complications such as deep insertion, implant migration, and difficulty of removal. This code doesn't cover the insertion/removal, though. Also, please don't refer to this code as CPT J7307. It's easy to interchange CPT and HCPCS codes, but they are different. Another thing to take note of is that this isn't recommended if the patient has liver disease, breast cancer, or vaginal bleeding.

## **Documentation requirements for J7307** As with any HCPCS code, it's best to brush up on the required documentation for J7307 before you decide to file a claim for it. Here are examples of what you need: - The full name of the patient - The full name and credentials of the healthcare professional who handled the patient - The patient's informed consent for contraceptive implant therapy, since this is an invasive procedure - Drug/device details (the name, dosage, lot number, National Drug Code, etc.) - Procedure note describing the insertion or removal (including the site and insertion/removal date) - Documentation of patient counseling concerning the risks, benefits, and alternatives of this implant system - Location of the implant (e.g., left upper arm, right upper arm)

## **Billing requirements for J7307** Besides the documentation requirements above, please take note of or have the following: - 1 unit = 1 implant system - Again, this code only covers the supply of the implant system, not the implant insertion or removal procedures - Use appropriate CPT codes such as 11981 for insertion, non-biodegradable drug delivery implant; 11982 for removal, non-biodegradable drug delivery implant; and 11983 for removal with reinsertion, non-biodegradable drug delivery implant. - Modifier 25 might be required if insertion/removal is performed on the same day as an E/M service Please make sure to familiarize yourself with your payer coding guidelines and related policy articles so you can follow proper coding procedures for reimbursement and to avoid claim rejections.

## **Other similar codes** - **J7306** - Levonorgestrel (contraceptive) implant system, including implants and supplies - **J7304** - Contraceptive supply, hormone containing patch, each - **J7296** - Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg - **J7297** - Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg - **J7298** - Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg

Frequently asked questions

Since this is an implant, there will be pain, discomfort, and possible bruising in the insertion site. There might even be severe pain. Severe complications include the formation of scar tissue in the implant site, infection in the insertion site, allergic reactions, and difficulty removing the implant during a removal procedure.

It can take up to 30 minutes.

Contraceptive patches, IUDs, injectable contraceptives, vaginal rings, and oral contraceptive pills.