Topic: Unbundling IUDs

Traditionally, intrauterine devices (IUDs) were billed as part of other treatments, such as part of the global maternity payment structure. However, IUDs have a significant upfront cost that may not be fully covered by those bundles. Through Medicaid SPA amendments and billing code guidance, states can allow providers to bill separately for IUDs and insertion services outside of global maternity or procedure payments, allowing expenses to be covered, reducing upfront costs and encouraging provider participation.