HCPCS code J7301: Skyla IUD, 13.5 mg system2026 Medicare rate & RVUs in Texas
Reports a Skyla levonorgestrel-releasing intrauterine contraceptive system containing 13.5 mg of hormone when the device is furnished for placement.
CMS doesn’t publish an office rate for J7301 in Texas.
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 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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
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
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
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J7301 isn’t priced in this setting.
J7301 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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