Home Drug Codes J Codes J7301 · SKYLA
Updated July 1st, 2026

SKYLA J Code: J7301

Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg
HCPCS Added Date January 1, 2014
Manufacturer Bayer Pharmaceutical
Route of Administration Intrauterine
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Intrauterine Device

About SKYLA

Skyla is a medication aligned to the HCPCS J Code: J7301 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 J7301. Package detail is available to logged-in subscribers.

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SKYLA Pricing & Reimbursement

J7301 Private Payer Reimbursement
$1,021.40 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

SKYLA 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
Not on the CMS JW / JZ list

CMS does not include Skyla (J7301) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7301. Wastage billing guide →

SKYLA Medically Unlikely Edits (MUE)

The most billing units of J7301 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 13.5 mg.

Practitioner Office & Hospital Outpatient
0 units / day
Not payable in this setting

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

SKYLA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Prevention of pregnancy
Drug Class
Inhibit Ovum Fertilization [PE]Progesterone Congeners [CS]Progestin [EPC]Progestin-containing Intrauterine System [EPC]

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Frequently Asked Questions

Is there an available Skyla billing and coding guide?
Billing and coding information for SKYLA can be found through Bayer. Visit Here →
Are there any available Skyla patient assistance programs?
SKYLA patient assistance information can be found through Bayer. Visit Here →
Where can I find Skyla prescribing information?
SKYLA prescribing information can be found at the link below: Visit Here →
Where can I find Skyla side effect information?
Information regarding SKYLA's side effects can be found at MedlinePlus Visit Here →
Does billing SKYLA require JZ/JW wastage modifiers?
CMS does not include SKYLA (J7301) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J7301. For more information, visit the link below.

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