New 2018 HCPCS Codes for Kyleena and Makena

Long-acting reversible contraceptive Kyleena now has a permanent HCPCS code for 2018. Beginning January 1, providers should cease using the previous temporary code Q9984 for reporting this IUD. Instead, new code J7296, Levonorgestrel-releasing intrauterine contraceptive system (Kyleena), 19.5 mg should be reported on the claim form for reimbursement.

Meanwhile, HCPCS code J1725, Injection, hydroxyprogesterone caproate, 1 mg, will be replaced by two new codes. Effective January 1, the following codes should be reported as appropriate for progestin injections:

  • J1726 Injection, hydroxyprogesterone caproate, (Makena), 10 mg
  • J1729 Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg

Both Q9984 and J1725 will be discontinued on January 1, 2018, and the new HCPCS codes should be used for reporting these services.

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Donna Tyler
Director, Coding
dtyler@acog.org

Joyce Kilgore
Facility Coding Education Specialist
JKilgore@acog.org

Miroslava Rudneva
Coding Education Specialist
MRudneva@acog.org

Tatyana Mallory
Facility Coding Education Specialist
TMallory@acog.org

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