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Correction to Frequency Limitation for HCPCS Code J7296

January 22, 2018

A previously published Medi-Cal Update that added, changed and deleted CPT-4 and HCPCS codes for the 2018 annual update, effective February 1, 2018, contained incorrect policy for HCPCS code J7296 (levonorgestrel-releasing intrauterine contraceptive system [Kyleena], 19.5 mg). This update established a frequency limitation of one every five years and allowed a Treatment Authorization Request (TAR) to override the frequency limit. Correct policy states that no frequency limitation is applicable to HCPCS code J7296.

The correct policy is reflected in the following updated PDF documents:

Manual replacement pages reflecting these changes will be released in a future Medi-Cal Update.

Providers should refer to the HCPCS Annual Update page for ongoing updates.