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Benefit Update for Intrauterine Contraceptive System (Kyleena)

January 17, 2018

Effective retroactively for dates of service on or after July 1, 2017, HCPCS code Q9984 (levonorgestrel-releasing intrauterine contraceptive system [Kyleena], 19.5 mg) is a Medi-Cal and Family Planning, Access, Care and Treatment (Family PACT) Program benefit. No action is required by providers. An Erroneous Payment Correction will be issued to address affected claims.

Note:

HCPCS code S4989 (contraceptive intrauterine device, including implants and supplies) is no longer reimbursable for the Family PACT or Medi-Cal programs, effective January 1, 2018.