HCPCS code J7298: Mirena IUD, 52 mg system2026 Medicare rate & RVUs in New Jersey
Reports the 52 mg Mirena levonorgestrel intrauterine system when a clinician supplies the device for contraceptive placement.
CMS doesn’t publish an office rate for J7298 in New Jersey.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 New Jersey
| Payment locality | Office | Facility |
|---|---|---|
| Northern New Jersey | Unavailable | Unavailable |
| Rest of New Jersey | Unavailable | Unavailable |
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
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
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J7298 isn’t priced in this setting.
J7298 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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