MIRENA J Code: J7298
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg
Drug & Product Overview
About MIRENA
Mirena is a medication aligned to the HCPCS J Code: J7298 for billing, pricing, and reimbursement purposes in the United States. Classified under Women's Health, it is administered via the intrauterine route and manufactured by Bayer Pharmaceutical.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to J7298. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | MIRENA | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
MIRENA Pricing & Reimbursement
National median reimbursement across major commercial payers.
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MIRENA CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 58300 | Insertion, intrauterine device |
CMS does not include Mirena (J7298) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7298. Wastage billing guide →
MIRENA Medically Unlikely Edits (MUE)
The most billing units of J7298 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 52 mg.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
MIRENA Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Mirena billing and coding guide?
Are there any available Mirena patient assistance programs?
Where can I find Mirena prescribing information?
Where can I find Mirena side effect information?
Does billing MIRENA require JZ/JW wastage modifiers?
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