How to Bill to Insurance When Treatment Cycle is Canceled
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Coding Q&A
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How to Bill to Insurance When Treatment Cycle is Canceled
If a patient is self-paying for treatment and the patient’s IVF or FET cycle is canceled, what would be the appropriate code to use to send
How to Code for Surgical Tubal Anastomosis
How do you properly code this surgical tubal anastomosis and chromotubation? In this case, codes 58679 and 58662 were billed
Billing Same Sex Male Donor Cycles
If both male partners provide sperm for the fertilization process, would we obtain authorization/bill for the fertilization process for
Correct Code to use for using Zymot to Prepare Sperm for Insemination
We recently started using ZyMot to prepare sperm for insemination. Is 89260 the correct CPT code to use? Do youMore Resources
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ASRM MAC Tool 2021
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COVID-19 Resources
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Patient Resources
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Topic Resources
American Society for Reproductive Medicine Reacts to White House Announcement on IVF Coverage
ASRM applauds the White House’s first steps toward IVF access but underscores that true equity demands mandatory insurance coverage. View the Press ReleaseHow to Bill to Insurance When Treatment Cycle is Canceled
If a patient is self-paying for treatment and the patient’s IVF or FET cycle is canceled, what would be the appropriate code to use to send View the AnswerThe Heart of Advocacy Day
Advocacy is a commitment to push through discomfort for the sake of future progress. Learn more about RESOLVE's Advocacy Day in partnership with ASRM.Just the Facts: IVF Policy Priorities
ASRM advocates for expanded IVF access, urging policy solutions that prioritize patient care, inclusivity, and medical decision-making free from political interference. View the advocacy resourceBilling for Ultrasounds and Labs
When billing for ultrasounds and labs, is it necessary View the AnswerUse of Code 99211 for a Monitoring Appointment
Is it appropriate to use code 99211 if a patient is scheduled for a monitoring visit View the AnswerHyCoSy Bundled Code 0568T
When billing for HyCoSy, should the new code 0568T View the AnswerAppropriate Use of Modifier -25
Is Modifier -25 appropriate in the monitoring cycle when an ultrasound View the AnswerBilling for E/M Visits
When billing Evaluation & Management (E/M) visits based on medical decision-making, would we View the AnswerBilling Physician vs Service Physician
What physician’s name must be on the treatment notes and who we are permitted to bill to insurance for: View the AnswerMandated states and egg retrieval
What name should you use to submit for reimbursement for the actual egg donor when there is benefit for the donor egg retrieval? View the AnswerBilling 58558 together with 58560
Can CPT codes 58558 and 58560 be billed together? Also, can 58560 be billed with place of service 11? View the AnswerIVF coverage denied for Z31.83 diagnosis code
My wife and I have been seeking IVF treatment and coverage was added for infertility treatment (up to $25,000) but our insurer keeps denying it. View the AnswerCycle coordination fees and 99499, S4042
I reviewed cycle coordination fees, but see that there is no specific code for cycle management. View the AnswerReimbursement for cost of donor egg
My wife and I are going through a fertility treatment process, and we have purchased a donor egg out-of-pocket from a donor bank. View the AnswerCoding for Ovarian tissue cryopreservation, experimental or not?
For Cryopreservation; Reproductive Tissue Ovarian- 0058T code is not being recognized. Is there an updated one being used or a replacement of this code? View the AnswerSupervising provider for embryology billing
We typically bill our IVF Lab work under the rendering provider who performs the VOR. Who should be the supervising provider for embryology billing? View the AnswerBilling 58558 and 58560 together
Can CPT codes 58558 and 58560 be billed together? Also, can 58560 be billed with place of service 11? View the AnswerEndometrioma
Surgery was performed under anesthesia for Aspiration of right hyrosalpinx fluid and right endometrioma. View the AnswerTotal versus Free estradiol
Should patients with fertility issues be billing Estradiol Free (82681) instead of Estradiol Total (82670)? View the AnswerUnlisted Fertility Treatment CPT Code
Can you please refer me to an unlisted management CPT code for fertility treatment? View the AnswerVitamin D Testing in Infertility Patients
We are being told that, as of this year, vitamin D level screening is not being covered by many insurers. View the AnswerZ Codes Vs. Procedure Codes For Fertility Preservation Counseling
I am trying to understand better when to use the procreative management code vs the fertility preservation counseling and procedure codes. View the AnswerICD-10 Code For Intrauterine Insemination (IUI) For Same-Sex Couple
Which ICD-10 code you recommend for IUI same gender couples? View the AnswerNon-REI Board Certified MD Performing REI Procedures
My boss has a few follow up questions about a non-REI board certified MD performing REI procedures. View the AnswerEmbryo Culture Denied As Experimental
We have received denials from insurance payers when billing CPT code 89251. View the AnswerFlat Fee For Outside Monitoring
Can our office charge outside monitoring patients a flat fee to be seen? View the AnswerFrozen Embryo Transport
What is the code for the cost of frozen embryo transport? View the AnswerGlobal Billing Vs Billing Under Provider
For an IVF cycle (that is not being billed global to an insurance plan) is it appropriate to bill the charges under one “global” provider? View the AnswerDiagnosis Codes For Intrauterine Insemination (IUI)
I was reviewing your Coding Corner information to find a definitive diagnosis for IUI procedures. Which diagnosis is the most appropriate? View the AnswerDonor Egg-Retrieval On Recipient's Claim
Is the donor egg retrieval included on the bill to insurance with the first IVF treatment for the recipient? View the AnswerBoard Certified Vs. Non-Board Certified Billing
Is coding/billing any different when a non-board certified or non-REI provider submits for REI procedure? View the AnswerClaim Form for Donor Egg Retrieval
What bill form is used of IVF donor egg retrieval? View the AnswerCoding For Alpha-Fetoprotein Testing
My clinic is looking into implementing Alpha-Fetoprotein (AFP) testing. I understand there is currently no CPT code listed for this testing. View the AnswerCoding For Donor Egg Retrieval For Male Intended Parent
In coding a donor-egg retrieval to bill to insurance under the male intended parent, would it be appropriate to use the Z31.83? View the AnswerCoding For Long-Term Storage Of Embryos
We have recently been contacted by a payer stating we have a patient whose plan will cover long-term storage of her embryos. View the AnswerBilling at an Outside Clinic for Lab Services
One of my physicians uses an outside facility to perform the retrievals and transfers. View the AnswerBilling For Cryopreservation Of Embryos Under The Male Partner
Can 89258 be billed under the male partner of a female patient? View the AnswerBilling For Procedures Performed By Outside Physicians
Our physician tested positive for COVID-19, so another physician not associated with our office performed our egg retrievals and embryo transfers. View the AnswerMale Infertility
A summary of common codes for Male Infertility compiled by the ASRM Coding Committee. View the Coding SummaryMental-health Services During Assisted Reproduction
A summary of codes for Mental-health Services During Assisted Reproduction compiled by the ASRM Coding Committee. View the Coding SummaryPCOS
A summary of codes for PCOS as compiled by the ASRM Coding Committee. View the Coding SummaryRecurrent Pregnancy Loss (RPL)
Strategy for coding for a patient with RPL - codes compiled by the ASRM Coding Committee. View the Coding SummaryLaboratory Procedures during ART Cycles
A listing of codes, compiled for a fresh ART cycle, transfer, biopsy, cryopreservation of embryos and oocytes, storage, and thawing. View the Coding SummaryEmbryo Transfer
A summary of Embryo Transfer codes collected by the ASRM Coding Committee View the Coding SummaryEndometriosis
A summary of common codes for Endometriosis compiled by the ASRM Coding Committee View the Coding SummaryFibroids
A summary of codes to use with fibroids and myomas compiled by the ASRM Coding Committee View the Coding SummaryFertility Preservation
A summary of codes for Fertility Preservation compiled by the ASRM Coding Committee. View the Coding SummaryJan 2022: Modifier 93 – Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System
At the September 2021 CPT Editorial Panel Meeting, a new Modifier was accepted to describe real-time telemedicine services. View the LetterFeb 2021: CMS holds physicians harmless from Merit-based Incentive Payment System (MIPS) penalties amid COVID-19 Public Health Emergency
CMS announced it will hold physicians harmless from up to 9% MIPS penalties due to the significant disruptions of the COVID-19 public health emergency. View the LetterJan 2021: Coding for COVID-19 Vaccine Administration
AMA has published an update to the Current Procedural Terminology (CPT®) code set that includes new vaccine-specific codes to report immunizations. View the LetterJan 2021: Telehealth Coding Extension and 2021 Medicare Physician Fee Schedule
Effective January 11, 2021, the U.S. Department of Health and Human Services' Secretary Azar has extended the COVID-19 Public Health Emergency (PHE). View the LetterDec 2020: New Evaluation and Management Codes for 2021
Effective January 1, 2021, Evaluation and Management Codes will be changed for office visits only. View the LinkTopic Resources
Fertility and Sterility Publishes Editorial Exploring the Origins of “Restorative Reproductive Medicine” and Why Modern Fertility Care Must Remain Comprehensive
Restorative reproductive medicine overlooks IVF, male-factor care, and the need for full-spectrum fertility treatment using modern technologies. View the Press ReleaseFertility and Sterility Publishes New Research Underscoring Importance of IVF, Fertility Preservation Access for Cancer Patients During Breast Cancer Awareness Month
New ASRM‑supported research highlights key IVF and fertility preservation access needs for cancer patients — particularly during Breast Cancer Awareness Month. View the Press ReleaseAmerican Society for Reproductive Medicine Reacts to White House Announcement on IVF Coverage
ASRM applauds the White House’s first steps toward IVF access but underscores that true equity demands mandatory insurance coverage. View the Press ReleaseFertility and Sterility On Air - Unplugged: September 2025
Explore optimal IVF trigger timing, dual trigger insights, and how TikTok shapes endometriosis info—on F&S Unplugged with ASRM experts. Listen to the EpisodeHow to Bill to Insurance When Treatment Cycle is Canceled
If a patient is self-paying for treatment and the patient’s IVF or FET cycle is canceled, what would be the appropriate code to use to send View the AnswerBilling Same Sex Male Donor Cycles
If both male partners provide sperm for the fertilization process, would we obtain authorization/bill for the fertilization process for View the AnswerCorrect Code to use for using Zymot to Prepare Sperm for Insemination
We recently started using ZyMot to prepare sperm for insemination. Is 89260 the correct CPT code to use? Do you View the AnswerFertility and Sterility On Air - Roundtable: Egg Sharing
Experts debate the ethics of egg sharing and split cycles, exploring patient autonomy, informed consent, diversity, and equitable fertility care. Listen to the EpisodeASRM PRIMED Cohort Members—Including Physicians, Providers, and Experts—Meet with Congressional Offices to Advocate for IVF Access & Educate About Realities of Restorative Reproductive Medicine
ASRM PRIMED cohort meets Congress to push for IVF access, clarify risks of restorative reproductive medicine, and defend science‑based fertility care. View the Press ReleaseASRM Hosts Capitol Hill Briefing for Policymakers & Congressional Staff to Hear From Providers & Patients About Importance of IVF Access, Realities and Limitations of Restorative Reproductive Medicine
ASRM briefing united lawmakers, physicians & patients on IVF access, exposing RRM limits and urging policies to expand fertility care options. View the Press ReleaseFertility and Sterility On Air - TOC: September 2025
Fertility & Sterility On Air: Sept 2025—podcast on infertility advances, AZFC outcomes, BMI & IVF safety, endometrium, chorionic bump, AMH-PCOS, GLP-1. Listen to the EpisodeSRS Warns Against Limiting Access to IVF Under the Guise of “Restorative” Care
SRS, an ASRM affiliate, advocates evidence-based reproductive surgery and full-spectrum fertility care for conditions like endometriosis, fibroids, and PCOS. View the Press ReleaseASRM Letter to the International Institute for Restorative Reproductive Medicine (IIRRM)
ASRM responds to IIRRM, affirming patient-centered infertility care, IVF access, and evidence-based treatment while supporting respectful dialogue. View the ASRM letter to the IIRRMDon’t be fooled: There is no substitute for IVF
IVF is essential for many families. Restorative Reproductive Medicine is no substitute, risking access to proven fertility care in the U.S. View the OpEdFertility and Sterility On Air - Roundtable: State Advocacy
Experts share strategies for IVF advocacy, combating misinformation, and building connections with policymakers to protect reproductive rights and access. Listen to the EpisodeJournal Club Global en Español: AMMR 2025
Experts discuss chaotic embryo classification, PGT-A rebiopsy outcomes, embryo quality, biopsy techniques, and transfer protocols for mosaic embryos. View the VideoFertility and Sterility Publishes Editorial Piece on How Restorative Reproductive Medicine Violates Reproductive Autonomy and Informed Consent
Editorial in Fertility and Sterility warns that Restorative Reproductive Medicine spreads stigma, delays care, and undermines IVF and patient autonomy. View the Press ReleaseFertility and Sterility On Air - Unplugged: August 2025
Podcast covers IVF toxicology, embryo vitrification, fibroid research, and lab automation with AI, exploring fertility risks, outcomes, and innovations. Listen to the EpisodeF&S Reports Publishes Editorial Piece on the Unscientific Nature of the Arguments for “Restorative Reproductive Medicine” and Why We Need to Understand Them
F&S Reports editorial critiques “Restorative Reproductive Medicine” as unscientific, faith-driven, and a threat to evidence-based IVF care and reproductive rights. View the Press ReleaseFertility and Sterility On Air - TOC: August 2025
Fertility and Sterility marks 75 years with debates on PGT-A, Dobbs impacts, ART risks, contraception trends, and advances shaping reproductive medicine. Listen to the EpisodeASRM, Leading Medical Organizations Urge National Governors Association to Reject ‘Restorative Reproductive Medicine’ in Open Letter
Medical groups urge governors to reject Restorative Reproductive Medicine laws, defending evidence-based infertility care and IVF access. View the Press ReleaseFertility and Sterility On Air - Unplugged: July 2025
Explore IVF innovations, mental health in MRKH care, and beta book practices in this deep dive from F&S On Air with expert insights and critical updates. Listen to the EpisodeFertility and Sterility On Air - TOC: July 2025
Explore July 2025’s Fertility & Sterility insights on ART births, FET protocols, progesterone safety, uterine transplants, and adhesion prevention research. Listen to the EpisodeJournal Club Global LIVE at MRSi 2025: Sibling Oocyte Studies in ART
Experts discuss sibling oocyte trials, PIEZO-ICSI, and microfluidics in ART, evaluating outcomes, design limits, lab impact, and clinical implications. View the VideoFertility and Sterility On Air - Live from the PCRS 2025 Annual Meeting
Explore cutting-edge fertility research from PCRS 2025—PGT-A, embryo screening, cost-effective protocols, and gamete storage breakthroughs. Listen to the EpisodeFertility and Sterility On Air - TOC: June 2025
Stay updated on global reproductive medicine with Fertility & Sterility On Air—insights, debates, and journal highlights hosted by leading experts. Listen to the EpisodeFertility & Sterility Publishes New Study Validating IVF Data Accuracy of a National Commercial Claims Database, Comparable with National IVF Registries
New study validates IVF data from commercial claims database, supporting its use by policymakers, employers, and researchers in expanding IVF coverage. View the Press ReleaseASRM Statement on Palm Springs Bombing
ASRM condemns the Palm Springs bombing, stands with victims, and urges action to protect healthcare providers from violence and harassment. View the Press ReleaseASRM Center for Policy & Leadership Releases Fact Sheet on Misleading Terminology, “Restorative Reproductive Medicine” and "Ethical IVF"
ASRM exposes how terms like “RRM” and “ethical IVF” mislead and restrict IVF access, urging science-based policies that support all paths to family building. View the Press ReleaseJust the Facts: “Restorative Reproductive Medicine” and “Ethical IVF” are Misleading Terms That Threaten Access
Terms like “restorative reproductive medicine” and “ethical IVF” mislead and restrict access to proven fertility care like IVF. Evidence must guide policy. View the advocacy resourceFertility and Sterility On Air - TOC: May 2025
Explore new fertility research on IVF triggers, thyroid autoimmunity, prednisone use, and genetic impacts in this expert-led review of May 2025’s F&S journal. Listen to the EpisodeUS IVF usage increases in 2023, leads to over 95,000 babies born
SART releases 2023 IVF data during National Infertility Awareness Week, showing record births and rising demand for ART to support growing families. View the Press ReleaseJust the Facts: The Safety of In Vitro Fertilization (IVF)
IVF is a safe, proven medical procedure with extensive research backing. Though risks exist, advancements and strict monitoring ensure most IVF babies are healthy. View the advocacy resourceAssisted Reproductive Technology (ART) Oversight: Lessons for the United States from Abroad
A comprehensive analysis of global Assisted Reproductive Technology (ART) regulations, comparing policies, accessibility, and ethical considerations in various countries. View the advocacy resourceJust the Facts: IVF Policy Priorities
ASRM advocates for expanded IVF access, urging policy solutions that prioritize patient care, inclusivity, and medical decision-making free from political interference. View the advocacy resourceHormonal Induction of Endometrial Receptivity for Fresh or Frozen Embryo Transfer
Explore Dr. Paulson's insights on endometrial receptivity and hormonal preparation in IVF, egg donation, and surrogacy, highlighting estrogen and progesterone roles. View the ASRMed Talk VideoThe use of preimplantation genetic testing for aneuploidy: a committee opinion (2024)
PGT-A use in the U.S. is rising, but its value as a routine IVF screening test is unclear, with mixed results from various studies. View the Committee OpinionJournal Club Global from ANZSREI 2024: Debate Unexplained infertility; Straight to IVF?
ANZSREI 2024 debate: Should unexplained infertility go straight to IVF? Experts discuss pros, cons, and alternative treatments. No clear consensus reached. View the VideoWho to bill for gestational carrier services if intended parents have insurance?
I wanted to inquire about guidelines for billing services to a surrogate’s insurance company if intended parents purchased the insurance coverage. View the AnswerPerforming MD is not the Doctor of Record
Currently we are billing the performing provider as the service provider and the Doctor of Record as the billing provider. View the AnswerJournal Club Global: Oral Progestin For Ovulation Suppression During IVF
Live broadcast from the 2024 Midwest Reproductive SymposiumInternational in Chicago, IL View the Video






