HCPCS Code Details - J7296

HCPCS Level II Code
Drugs administered other than oral method, chemotherapy drugs
HCPCS Code J7296
Description

Long description:
Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg

Short description:
Kyleena, 19.5 mg

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Statute number 1862(a)(1)
Coverage code S - Non-covered by Medicare statute
BETOS2 code P6C - Minor procedures - other (Medicare fee schedule)
HCPCS Action code A - Add procedure or modifier code
Type of service 9 - Other medical items or services
Effective date Effective Jan 01, 2018
Date added Added Jan 01, 2018
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS J7211 · Injection, factor viii, (antihemophilic factor, recombinant), (kovaltry), 1 i.u.

  • HCPCS J7297 · Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg

  • HCPCS J7298 · Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg

  • HCPCS J7301 · Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg

  • HCPCS J7302 · Levonorgestrel-releasing intrauterine contraceptive system, 52 mg

  • HCPCS Q9984 · Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”