J7296 Kyleena, 19.5 milligrams
Also known as: Kyleena, hormonal IUD, levonorgestrel IUS
Insertion of Kyleena (levonorgestrel-releasing intrauterine system), 19.5 milligrams, a 3-year reversible contraceptive device.
In Plain Language
intrauterine birth control; hormone-releasing coil
Clinical Context
Indicated for contraception and treatment of heavy menstrual bleeding in women, provides 3-year protection with local hormonal release.
RVU Information
CPT J7296 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J7296?
CPT J7296 (Kyleena, 19.5 milligrams) is a J Codes (Drugs) code. Insertion of Kyleena (levonorgestrel-releasing intrauterine system), 19.5 milligrams, a 3-year reversible contraceptive device.
How is J7296 administered?
CPT J7296 is administered by a healthcare provider, typically via injection or infusion. Indicated for contraception and treatment of heavy menstrual bleeding in women, provides 3-year protection with local hormonal release. It is used by Obstetrics and Gynecology, Family Medicine, Gynecology.
When is CPT J7296 used?
Indicated for contraception and treatment of heavy menstrual bleeding in women, provides 3-year protection with local hormonal release.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.