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IUD Expelled

Hello,
I was wondering if anyone could help me with this questions.
I have a provider that inserted a Mirena IUD which was expelled immediately, she then tried again with a Skyla IUD and that stayed in place, all of this during the same visit.
My question is, should insertion be billed 2x?
58300-52 ( for the expelled one)
58300 ( for the one that stayed in place) with modifier 76 ( Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional)
or
should a 58301 removal be reported?
I’m thinking that 58301 may not be appropriate since it was not removed by the provided, it was expelled naturally by the patient.
Please help.

Cecilia

Medical Billing and Coding Forum – OB/GYN