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HCPCS code J7301: Skyla IUD, 13.5 mg system2026 Medicare rate & RVUs

Reports a Skyla levonorgestrel-releasing intrauterine contraceptive system containing 13.5 mg of hormone when the device is furnished for placement.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J7301

Skyla IUD, 13.5 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 J7301 →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 J7301 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 J7301 covers

J7301 identifies the Skyla hormonal intrauterine contraceptive system, which releases levonorgestrel from a device placed inside the uterus. Gynecologists, family-planning clinicians, and other qualified clinicians may furnish the device for contraception and place it during an outpatient visit. The device is distinct from the insertion service: CPT 58300 describes insertion, while J7301 identifies the system itself.

Medicare assigns this HCPCS code physician fee schedule status N, meaning the item is not covered by Medicare. Its CMS coverage code also classifies it as not covered by statute, and the HCPCS pricing method says it is not separately priced by Medicare Part B. The code identifies a complete system containing 13.5 mg of levonorgestrel; it is not a per-milligram dose code. J7300 identifies a copper intrauterine contraceptive device, while J7306 and J7307 identify contraceptive implants rather than intrauterine systems.

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 J7301 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

J7301 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

J7301 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
J7301 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 J7301 rate is calculated

Each of J7301’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 · J7301

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 J7301

J7301 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 · J7301

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J7301 isn’t priced in this setting.

J7301 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J7301

    Skyla IUD, 13.5 mg system0 wRVU

    Not priced

  • J7300

    Copper IUD, paragard device0 wRVU

    Not priced

  • J7306

    Levonorgestrel implant, implant system0 wRVU

    Not priced

  • J7307

    Etonogestrel implant, implant and supplies0 wRVU

    Not priced

How to choose

J7300Copper IUDParagard device
J7301 is the hormonal Skyla intrauterine system; J7300 identifies a copper intrauterine contraceptive device.
J7306Levonorgestrel implantImplant system
J7301 identifies an intrauterine system containing levonorgestrel. J7306 identifies a levonorgestrel contraceptive implant placed under the skin.
J7307Etonogestrel implantImplant and supplies
J7301 is an intrauterine levonorgestrel system; J7307 identifies an under-the-skin contraceptive implant containing etonogestrel.

Codes related to J7301

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

Codes related to J7301
CodeHow it relatesNational office range
Often billed with
58300IUD insertionIdentifies intrauterine device insertion, which may occur during the encounter when the Skyla system is furnished.No office rate
Used instead
J7300Copper IUD, paragard deviceIdentifies a copper intrauterine contraceptive device rather than a hormonal system.No office rate
J7306Levonorgestrel implant, implant systemIdentifies a levonorgestrel contraceptive implant, placed under the skin rather than in the uterus.No office rate
J7307Etonogestrel implant, implant and suppliesIdentifies an etonogestrel contraceptive implant rather than an intrauterine system.No office rate
J7304Contraceptive patch, per patchIdentifies a contraceptive hormone patch rather than an intrauterine device.No office rate

J7301 billing questions

What does J7301 identify?

It identifies the Skyla levonorgestrel-releasing intrauterine contraceptive system containing 13.5 mg of hormone. It identifies the device, not the insertion service.

Is J7301 billed per milligram?

No. The code identifies the complete 13.5 mg system, not a per-milligram amount.

How does J7301 differ from J7300?

J7301 is the Skyla levonorgestrel-releasing hormonal IUD. J7300 identifies a copper intrauterine contraceptive device.

Does Medicare cover J7301?

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

Which code identifies IUD insertion?

CPT 58300 identifies insertion of an intrauterine device. J7301 identifies the Skyla system furnished for placement.

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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