Billing built for gynecology, not generic medical.
Gynecology is procedure-heavy billing with preventive care intertwined. Colposcopy plus biopsy plus pathology, IUD J-codes, and same-day well-woman visits with problem-focused encounters all trip up general billers. Add modifier 25 questions and hysterectomy global periods and revenue leaks fast. Our GYN coders catch what others miss. Same 4.99% flat rate.
Gynecology CPT codes we handle every day.
Surgical global periods, colposcopy plus biopsy combinations, and IUD J-code billing. Our GYN coders know the details general billers miss.
Total Abdominal Hysterectomy
With or without salpingo-oophorectomy. 90-day global. Modifier 22 for extended procedures.
Colposcopy with Biopsy
Includes endocervical curettage. Watch for J-codes on pathology and specimen fees.
Hysteroscopy with Biopsy
Diagnostic and biopsy in one code. Cannot be billed same session as 58120 (D&C).
IUD Insertion
Procedure code. IUD itself billed with J7300, J7301, J7302, or J7307 depending on device.
Endometrial Ablation
Thermal or radiofrequency. Prior auth required. 90-day global. Documentation of failed medical therapy needed.
Preventive Visit, 18-39
Well-woman annual. Modifier 25 required when problem-focused visit occurs same day.
Where gynecology billing usually breaks.
Three patterns account for most denials in gynecology. Our specialized coders catch these before submission.
Preventive vs Diagnostic
Well-woman visits denied when a problem is addressed same day. Payer sees one code, not two.
Missing Modifier 25
Same-day E/M with procedure denied for missing modifier 25 on the E/M line. Common with IUD insertions and biopsies.
IUD J-Code Errors
Device J-code (J7297, J7300, J7301, J7302) missing from claim. Payer pays procedure but not the device, huge revenue loss.
Each gynecology sub-specialty billed differently. We handle all of them.
Coders matched to your sub-specialty. Office gynecology billing looks nothing like gyn-oncology or urogynecology, and infertility has its own complex rules.
Office Gynecology
Well-woman visits, contraceptive counseling, IUD management, pap smears. Highest volume in most practices. Preventive rules critical.
Gynecological Surgery
Hysterectomy, myomectomy, oophorectomy, salpingectomy. Complex global periods, modifier 51 and 59 rules apply.
Cervical & Uterine Procedures
Colposcopy, hysteroscopy, endometrial biopsy, ablation. Combination billing requires strict NCCI edit awareness.
Urogynecology
Pelvic floor procedures, incontinence surgery, prolapse repair. Overlap with urology billing rules on some codes.
Gyn Oncology
Cancer surgeries, chemotherapy administration, tumor markers. Global periods for radical procedures often 90 days.
Infertility & REI
Hormone panels, ultrasound monitoring, hysterosalpingogram. Coverage varies dramatically by payer and state mandates.
Gynecology-specific rules we track for you.
Preventive coverage under the ACA, IUD J-code updates, and state-mandated infertility coverage all evolve. We track updates so your practice doesn’t leak revenue on rule changes.
Well-woman and contraceptive coverage rules current
ACA requires zero-cost preventive care for well-woman visits, contraception, and specific screenings (pap, HPV, BRCA counseling). Miscoded and it bills as diagnostic, patient gets a bill, complaints follow. We keep the split clean.
Contraceptive device HCPCS pricing tracked quarterly
IUD device pricing (J7297 Liletta, J7300 Paragard, J7301 Skyla, J7302 Mirena, J7307 Nexplanon) updates quarterly. Miss the update and you underbill for weeks. We stay current on every device your practice uses.
USPSTF and ACOG guideline changes applied to billing
Cervical cancer screening guidelines updated in 2020: co-testing every 5 years replaces annual pap for many age groups. Payer coverage frequency limits followed the guidelines. We track patient screening intervals and prevent frequency denials.
State-mandated infertility coverage tracked
17+ states mandate some level of infertility coverage. Rules vary from basic diagnostic coverage to full IVF coverage. Employer self-funded plans can opt out under ERISA. We know which patient is covered under which rules for your state.
Full-service gynecology billing.
Everything a GYN practice needs, from routine well-woman visits to major surgery and complex sub-specialty billing.
Well-Woman & Preventive
ACA-covered preventive services billed correctly with no unexpected patient charges.
Gynecological Surgery
Hysterectomy, myomectomy, ablation with proper global period tracking.
IUD & Contraception
Device J-codes matched to inventory. Modifier 25 applied on same-day visits.
Colposcopy & Biopsy
Combination billing with proper NCCI awareness. Pathology J-codes included.
Sub-specialty Billing
Urogynecology, gyn-oncology, infertility handled by matched coders.
Dedicated Manager
Same person answers when you have modifier 25 questions or need an appeal filed.
“We’re a four-provider GYN group and our old biller kept forgetting to add the J-code when we inserted IUDs. We were losing eight hundred dollars per IUD we placed. CureMed fixed it in the first week and back-billed everything they could recover. Forty-seven thousand a month, gone before they showed up.”
Common questions about gynecology billing.
What is gynecology billing?
Gynecology billing covers claims for female reproductive health services outside of obstetric care, including gynecological surgeries, colposcopy and biopsy procedures, endometrial ablations, IUD insertion and removal, contraceptive counseling, well-woman visits, and hormone management.
What are the most common gynecology CPT codes?
Common gynecology CPT codes include 58150 (total hysterectomy), 57454 (colposcopy with biopsy), 58558 (hysteroscopy with biopsy), 58300 (IUD insertion), 58301 (IUD removal), 99385/99395 (well-woman preventive visits), and 57170 (diaphragm fitting).
Why do gynecology claims get denied?
Top reasons include preventive versus diagnostic coding errors (32%), missing modifier 25 on same-day E/M plus procedure (24%), and IUD/contraception device J-code documentation gaps (18%).
Do you bill IUD J-codes correctly?
Yes. IUD device billing is a common revenue leak. We match the procedure code (58300 or 58301) to the correct device J-code (J7297 Liletta, J7300 Paragard, J7301 Skyla, J7302 Mirena, J7307 Nexplanon) so both the procedure and device get reimbursed.
How do you handle infertility billing coverage?
Infertility coverage varies dramatically by state and payer. Some states mandate basic diagnostic coverage, some mandate full IVF coverage, and self-funded ERISA plans can opt out entirely. We verify each patient’s coverage at scheduling so you know what’s billable before services are rendered.
Ready for billing that actually speaks gynecology?
Send us three months of your GYN claims and denials. We’ll deliver a free gynecology-specific audit within a week showing exactly where your revenue is slipping, especially on IUD J-codes and modifier 25.