Posted
November 29,
2012
What is the best code to use for a pregnancy test (beta HCG) after treatment for infertility by IUI with or without clomiphene or injectable gonadotropins? Is it correct to code this pregnancy check under infertility diagnosis or should it be coded under another diagnosis such as unconfirmed pregnancy or other non-infertility diagnosis?
Posted
November 20,
2012
My doctor wants to do a mock transfer prior to an actual IVF procedure using a frozen donor oocyte. My insurance is willing to pay for the procedure. However, I do not have the CPT to file with my insurance because my doctor's office billing department said that there is no CPT code for such a procedure because it is done in preparation for a donor egg bank cycle. Is this correct? Is there a CPT code for this procedure?
Posted
October 25,
2011
What is the correct diagnosis code to use on the follicle ultrasound (76857) for a patient who is undergoing frozen embryo transfer (FET)? The documentation does not state Infertility.
Posted
May 18,
2010
Is there a list of RVUs for embryology and andrology laboratory procedures, and if so, where can it be found?
Posted
December 3,
2009
When a patient has a cyst from a previous Clomid or gonadotropin cycle, is it appropriate to bill the insurance company for the ultrasound with a 620.2 diagnosis if the patient will take that cycle off? There is not a need to put a secondary diagnosis code of 628.9, is there?
Posted
September 29,
2009
What is the procedure code for IVF? I'm trying to find out if my insurance will cover the procedure.
Posted
September 29,
2009
My infertility doctors bill the 76830 transvaginal ultrasound every time they perform an ultrasound even when they are monitoring the patient’s follicle. Should they be billing 76857, Ultrasound pelvic limited or follow up (e.g. for follicles). The doctor states that they not only look at the follicles but also the endometrium. Their report states:
Endometrial Thickness (mm) 10.0
Number of follicles <10 mm
Number of follicles >12mm
Total # of measured follicles
All measured follicles
Posted
June 11,
2009
When our doctor does a paracentesis for a patient with ovarian stimulation, what would be the best CPT code to use? We are considering using 49080. Can this be used with 76942 when ultrasound guidance is used, or do we need to pick one or the other?
Posted
June 11,
2009
What is the code to use for COS (Controlled Ovarian Stimulation): managing the patients, dosing of HMG, etc.?
Posted
June 11,
2009
I need a CPT code for microsurgical epididymal sperm aspiration. Could you help?
Posted
June 11,
2009
I looked through the “Ob/Gyn Coding Manual” and have not found a code for a mock embryo transfer. How can I report this procedure?
Posted
June 11,
2009
Have CPT codes been established for Maturation In Vitro? If so, what are they?
Posted
June 11,
2009
The CPT coding info for ART labs you provide is very useful. Do you have information on endocrine lab testing -- specifically, CPT codes and typical reimbursement from third-party payers? Also, how does reimbursement for diagnostic endocrine testing differ from endocrine monitoring for the treatment cycle? Are there other diagnostic andrology procedure codes and reimbursement for tests such as the cervical mucus penetration test, etc., that you did not list in the "correct coding for lab procedures during ART cycle" publication?
Posted
June 11,
2009
One of the problems we are having is coding for the management cycle. Coding for insurance companies for in vitro fertilization is still quite new to us. Can you help?
Posted
June 11,
2009
Where can I find a list of the new codes for ART Laboratory procedures?
Posted
May 29,
2009
I am seeking information on IVF insurance billing guidelines. When billing the lab procedures do you use a 1500 claim form only or in combination with the UB92? I am referring to: 58970, 58974, 89280, 89281, 89255, 89352, 89258, and 89253.
Posted
May 29,
2009
Important new ICD-9 Diagnosis Codes for 2008 Patient Undergoing Assisted Reproductive Technology
Posted
May 29,
2009
What is the appropriate ICD-9 code for a surrogate carrier? Can you make a recommendation?
Posted
May 29,
2009
If a woman requires a gestational carrier, how is the gestational carrier coded? She is truly not a surrogate, just gestational.
Posted
May 29,
2009
Are we allowed to bill professional charges under the physician for the embryologist who performs the IVF laboratory services (ICSI, hatching, cultures)?
Posted
May 29,
2009
We have a hospital-based embryology lab that is headed by a physician. We are billing for the technical component of 89250 and would like to also bill a professional component of the 89250. We have not been able to support the professional billing of this code (89250). After extensive research, we cannot find anything definitive. It seems to me that there is sufficient physician involvement to generate a professional fee. This code does appear on at least one of our contracted payment schedules, but does not appear on the Medicare physician fee schedule.
Posted
May 29,
2009
Is there a code that can be used for donor sperm?
Posted
May 29,
2009
How do you submit billing when a patient has insurance coverage for donor egg retrieval? It also pays for medications (i.e., Antagon®, Repronex™, and Follistim® for the egg donor). What CPT codes should be used if an egg donor is used?
Posted
May 29,
2009
In accordance with ASRM practice guidelines, many REs require patients (and their spouses/partners) who are considering using donor gametes to see an infertility counselor first. Assuming the purpose of these consultations is to explore relevant psychosocial issues, rather than to evaluate "suitability" for treatment, how should they be coded by the infertility counselor?
Posted
May 28,
2009
I am writing in regards to this question, because I am interpreting this as though a provider should NOT be billing 89258 for cryopreservation of embryo & storage of embryo. Am I interpreting this correct? Or can a provider bill storage under this code, just with an increase fee? I came across your website because a friend is having a difficult time getting her provider to bill embryo storage because they state this code is for freezing only. And there is no appropriate code to use for storage. Can you please help with this situation?
Posted
May 28,
2009
What is the correct way to bill cryopreservation of embryos (89258)? If you have multiple days of freezing for one patient's embryos, can you bill each day of freezing or just the initial freeze? Does the code 89258 include the storage?
Posted
May 28,
2009
Does the insurance industry have a designated CPT code for the “cryopreservation and storage” of reproductive cells and tissue?