LARC IN THE OFFICE BASE SETTING. Regina Lewis, DO Associate Professor of Family Medicine OSU Family Medicine

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1 SHIFT HAPPENS!

2 LARC IN THE OFFICE BASE SETTING Regina Lewis, DO Associate Professor of Family Medicine OSU Family Medicine

3 1. the effects of teen and unplanned pregnancies 2. types of LARC products 3. match the best LARC product to your patient 4. coding for LARC 5. Reimbursement for LARC

4 #11 in Maternal Mortality #3 in Uninsured women #2 in Teen pregnancy

5 Oklahoma teen pregnancy still one of highest in nation -By Eriech Tapia Staff Writer Published: August 6, :00 AM CDT Updated: August 6, :00 AM CDT Over the last 25-years, teen pregnancies have dropped overall Oklahoma is ranked second in the nation

6 Inequality starts early

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8 many Challenges & costs stem from unintended pregnancy. How do we shift from default to design?

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10 Which IUD should you get?

11 WHICH IUD SHOULD YOU GET? ParaGard Best for: Women who want to avoid hormones. Skip if: You have heavy periods.

12 WHICH IUD SHOULD YOU GET? Mirena Best for: Women with heavy periods. Skip if: You don t want your period to disappear entirely.

13 WHICH IUD SHOULD YOU GET? Liletta Best for: Women on a budget. Skip if: You don t want your period to disappear entirely.

14 WHICH IUD SHOULD YOU GET? Skyla Best for: Women who like the idea of a smaller IUD. Skip if: You re looking for a long-term commitment.

15 WHICH IUD SHOULD YOU GET? Kyleena Best for: Women who want more than three years of use, and want to keep menstruating. Skip if: You don t have the patience to fight with your insurance.

16 W H I C H I U D S H O U L D YO U G E T? SHIFT HAPPENS BY

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19 A M I A G O O D C A N D I D AT E F O R T H E I M P L A N T?

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24 CODING FOR LARC

25 ACOG LARC CODING

26 ACOG LARC CODING

27 ACOG LARC CODING

28 ACOG LARC CODING New HCPCS Codes for IUDs J7302

29 ACOG LARC CODING

30 ACOG LARC CODING

31 ACOG LARC CODING Procedure (IUD Insertion) Device Coding J7297 ( [Liletta ]) OR J7298 [Mirena ])

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33 NEW CODE: J7296

34 ACOG LARC CODING Intrauterine Contraceptive Device Coding Intrauterine contraceptive device insert FAILED (append modifier 53) Intrauterine contraceptive device removal

35 ACOG LARC CODING Intrauterine Contraceptive Device Coding Z Encounter for initial prescription of intrauterine contraceptive device Z Encounter for insertion of intrauterine contraceptive device Z Encounter for routine checking of intrauterine contraceptive device Z Encounter for removal of intrauterine contraceptive device Z Encounter for removal and reinsertion of intrauterine contraceptive device Z97.5 Presence of intrauterine contraceptive device

36 ACOG LARC CODING Intrauterine Contraceptive Device Coding J7296 Levonorgestrel-releasing intrauterine contraceptive system, 19.5 mg, 5 year duration J7297 Levonorgestrel-releasing intrauterine contraceptive system, 52 mg, 3 year duration J7298 Levonorgestrel-releasing intrauterine contraceptive system, 52 mg, 5 year duration J7300 Intrauterine copper contraceptive, 10 year duration J7301 Levonorgestrel-releasing intrauterine contraceptive system, 13.5 mg, 3 year duration

37 J J7307

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39 CPT CODE: 11982

40 ACOG LARC CODING Subdermal Implant Contraceptive Device Coding o Z o Z30.46 J7307 Please refer to the ICD-10-CM Manual for a complete description of the diagnosis code. Please refer to the ICD-10-CM Manual for a complete description of the diagnosis code. Etonogestrel implant system, including implant and supplies, 3 years

41 LARC REIMBURSEMENT

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46 20% Of tulsans are uninsured

47 15, %* Teen birth rate decline * through 2016 Women served 43.4%* Number of Abortions decline * through 2016 *Take Control s baseline year

48 The upfront cost of IUDs and the Implant are high for individuals and healthcare providers. every $1 spent on IUDs and the Implant saves $5.85

49 5 Years of coverage 1,825 VS. Pills 1,825 Pills 1 IUD

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51 22.3% more women access LARC at TCI CLinics When social media campaigns are running

52 System Level Challenges addressed with system level solutions Policy changes for the state

53 Shift the dialogue

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56 Shift happens!

57 REFERENCES PROVIDED UPON REQUEST!