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HCPCS code J7298: Mirena IUD, 52 mg system2026 Medicare rate & RVUs

Reports the 52 mg Mirena levonorgestrel intrauterine system when a clinician supplies the device for contraceptive placement.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7298

Mirena 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 J7298 →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 J7298 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 J7298 covers

J7298 identifies the Mirena levonorgestrel-releasing intrauterine system, a device containing 52 mg of levonorgestrel. Gynecologists, family medicine clinicians, and other clinicians who provide contraceptive care may supply it for placement in the uterus. The device is used for contraception and is also used to treat heavy menstrual bleeding. J7298 identifies the device itself, not the insertion service; when placement is performed, the insertion is identified separately with CPT 58300.

Medicare assigns this code physician fee schedule status N and classifies it as not covered by statute. The HCPCS pricing file says it is not separately priced by Medicare Part B. The code represents one complete 52 mg system, rather than a per-milligram quantity. Keep the device and insertion service distinct in coding and documentation; the device code does not describe removal or replacement.

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 J7298 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

J7298 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

J7298 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
J7298 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 J7298 rate is calculated

Each of J7298’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 · J7298

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 J7298

J7298 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 · J7298

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J7298 isn’t priced in this setting.

J7298 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • J7298

    Mirena IUD, 52 mg system0 wRVU

    Not priced

  • J7297

    Liletta 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

J7297Liletta IUD52 mg system
J7297 identifies Liletta, a 52 mg levonorgestrel system; J7298 identifies Mirena. Choose the code for the specific device supplied.
J7296Kyleena19.5 mg system
J7296 identifies Kyleena, which contains 19.5 mg of levonorgestrel. J7298 is for the 52 mg Mirena system.
J7299Miudella IUDCopper device
J7299 identifies a copper intrauterine contraceptive system. J7298 is for a hormone-releasing levonorgestrel system.
58300IUD insertion
CPT 58300 identifies insertion of an intrauterine device; J7298 identifies the Mirena device itself.

Codes related to J7298

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

Codes related to J7298
CodeHow it relatesNational office range
Often billed with
58300IUD insertionIdentifies insertion when the Mirena system is placed.No office rate
Same family
J7297Liletta IUD, 52 mg systemLiletta is another 52 mg levonorgestrel intrauterine system.No office rate
J7296Kyleena, 19.5 mg systemKyleena is a lower-dose levonorgestrel intrauterine system.No office rate
Used instead
J7299Miudella IUD, copper deviceIdentifies a copper intrauterine contraceptive system rather than a levonorgestrel system.No office rate

J7298 billing questions

How many units should be reported for one Mirena system?

J7298 represents one complete system containing 52 mg of levonorgestrel. It is not reported as 52 units.

Is J7298 the code for inserting Mirena?

No. J7298 identifies the device. CPT 58300 identifies insertion when the system is placed.

How does J7298 differ from J7297?

J7298 identifies Mirena and J7297 identifies Liletta. Both are 52 mg levonorgestrel intrauterine systems, but they are distinct products.

How does J7298 differ from J7296?

J7296 identifies Kyleena, a 19.5 mg levonorgestrel system. J7298 identifies Mirena, which contains 52 mg.

Does Medicare cover J7298?

No. Medicare lists J7298 as not covered by statute, with physician fee schedule status N; it is not separately priced by Medicare Part B.

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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