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

CMS doesn’t publish an office rate for J7298 in California.

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

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 in California

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

29 of 29 payment localities

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.

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.

J7298 compared with similar codes

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.

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