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HCPCS code J7297: Liletta IUD, 52 mg system2026 Medicare rate & RVUs

Identifies the 52 mg Liletta levonorgestrel-releasing intrauterine system supplied for contraception, with insertion identified separately when performed.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7297

Liletta IUD, 52 mg system

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J7297 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J7297 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J7297 covers

J7297 identifies the Liletta levonorgestrel-releasing intrauterine contraceptive system containing 52 mg of levonorgestrel. The system is used for contraception and is placed in the uterus by a clinician. Gynecologists, family-planning clinicians, and other clinicians providing contraceptive care may report the product when it is supplied in an office or clinic. The product code identifies the device rather than the insertion service; CPT 58300 identifies insertion when performed.

Medicare does not cover J7297 by statute. Its physician fee schedule status is N, and its HCPCS pricing designation states that it is not separately priced by Medicare Part B. Report the product code to identify the Liletta system supplied, and identify the insertion service separately when performed.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where J7297 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J7297 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J7297 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J7297 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J7297 rate is calculated

Each of J7297’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · J7297

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for J7297

J7297 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · J7297

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

J7297 isn’t priced in this setting.

J7297 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • J7297

    Liletta IUD, 52 mg system0 wRVU

    Not priced

  • J7298

    Mirena IUD, 52 mg system0 wRVU

    Not priced

  • J7296

    Kyleena, 19.5 mg system0 wRVU

    Not priced

  • J7299

    Miudella IUD, copper device0 wRVU

    Not priced

  • 58300

    IUD insertion0.98 wRVU

    Not priced

How to choose

J7298Mirena IUD52 mg system
Both identify 52 mg levonorgestrel systems, but J7297 is Liletta and J7298 is Mirena. Match the code to the product supplied.
J7296Kyleena19.5 mg system
J7296 identifies Kyleena, which contains 19.5 mg of levonorgestrel; J7297 identifies the 52 mg Liletta system.
J7299Miudella IUDCopper device
J7299 identifies a copper intrauterine contraceptive device; J7297 identifies a levonorgestrel-releasing system.
58300IUD insertion
CPT 58300 identifies the insertion service. J7297 identifies the Liletta device supplied, not the insertion.

Codes related to J7297

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to J7297
CodeHow it relatesNational office range
Same family
J7298Mirena IUD, 52 mg systemMirena is another 52 mg levonorgestrel-releasing intrauterine system.No office rate
J7296Kyleena, 19.5 mg systemKyleena is a lower-dose levonorgestrel-releasing intrauterine system.No office rate
Used instead
J7299Miudella IUD, copper deviceIdentifies a copper intrauterine contraceptive device instead of a levonorgestrel system.No office rate
Often billed with
58300IUD insertionIdentifies the insertion service when an intrauterine device is inserted.No office rate

J7297 billing questions

How does J7297 differ from J7298?

J7297 identifies the Liletta 52 mg system; J7298 identifies the Mirena 52 mg system. Select the code that matches the product supplied.

Does J7297 include insertion?

No. J7297 identifies the device, while CPT 58300 identifies insertion when performed.

Does Medicare cover J7297?

No. Medicare does not cover it by statute; its physician fee schedule status is N, and it is not separately priced by Medicare Part B.

What does the 52 mg identify?

It identifies the stated levonorgestrel amount associated with the Liletta system.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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