Blood Tests
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Coding Q&A
View more Coding Q&A in this category![Coding ART Clinical Care teaser](/globalassets/_asrm/practice-guidance/coding/coding_artclinicalcare_teaser.png)
HyCoSy and CPT 74740
When Office HSG/HyCoSy is performed but no x-ray/fluoroscopic imaging is performed, only ultrasound is done, is it appropriate to bill CPT code 74740?![Coding ART Clinical Care teaser](/globalassets/_asrm/practice-guidance/coding/coding_artclinicalcare_teaser.png)
Coding for an endometrial biopsy/Mock cycle
We had patients request us to bill their insurance for the two monitoring visits and the Endo BX and change the diagnosis code to something that is payable.![Coding ART Clinical Care teaser](/globalassets/_asrm/practice-guidance/coding/coding_artclinicalcare_teaser.png)
Guidance for coding limited or follow-up ultrasounds used during an IVF Cycle
I am a coder for a Reproductive Endocrinologist's office and am looking for some guidelines on limited or follow-up ultrasounds used during an IVF Cycle.![Coding ART Clinical Care teaser](/globalassets/_asrm/practice-guidance/coding/coding_artclinicalcare_teaser.png)
Shipping of frozen embryos
I have some infertility coverage, under which my insurance said they will cover frozen embryo shipping/transport from one facility to another.More Resources
![MAC 2021 teaser](/globalassets/_asrm/asrm-academy/on-the-go/mac2021_teaser.png)
ASRM MAC Tool 2021
The ASRM Müllerian Anomaly Classification 2021 (MAC2021) includes cervical and vaginal anomalies and standardize terminology within an interactive tool format.
![EMR Phrases teaser](/globalassets/_asrm/practice-guidance/emr/emr_phrases_teaser.png)
EMR Shared Phrases/Template Library
This resource includes phrases shared by ASRM physician members to provide a template for individuals to create their own EMR phrases.
![Practice Committee Documents teaser](/globalassets/_asrm/practice-guidance/practice-guidelines/images/practicedocument_teaser.png)
ASRM Practice Documents
![Ethics Committee teaser](/globalassets/_asrm/practice-guidance/ethics-opinions/ethics-committee_teaser.png)
ASRM Ethics Opinions
Ethics Committee Reports are drafted by the members of the ASRM Ethics Committee on the tough ethical dilemmas of reproductive medicine.
![Coding Corner general teaser](/globalassets/_asrm/practice-guidance/coding/coding-corner_general_teaser.png)
Coding Corner Q & A
The Coding Corner Q & A is a list of previously submitted and answered questions from ASRM members about coding. Answers are available to ASRM Members only.
![Covid-19 teaser](/globalassets/_asrm/practice-guidance/covid-19/covid19_teaser.png)
COVID-19 Resources
A compendium of ASRM resources concerning the Novel Corona virus (SARS-COV-2) and COVID-19.
![Couple looking at laptop for online patient education materials](/globalassets/_asrm/homepage/patient-info1.4faa9d2b.jpg)
Patient Resources
ReproductiveFacts.org provides a wide range of information related to reproductive health and infertility through patient education fact sheets, infographics, videos, and other resources.
Topic Resources
![Webinars Icon](/globalassets/_icons/webinars.png)
Aug 15, 2024, 3:00PM CT - Fever Pitch – Startups that are improving access to fertility care
This webinar aims to help identify what factors in fertility-related startups may improve access and equity in reproductive care.
Register For The Webinar![Webinars Icon](/globalassets/_icons/webinars.png)
Aug 2, 2024, 7:30 AM CT - Psychosocial Care in Fertility Treatment - International Perspectives
Panelists will discuss assessing the degree of distress in couples undergoing infertility treatment and addressing their psychosocial needs.
Register for the Webinar![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
ASRM announces support for HOPE with Fertility Services Act
The American Society for Reproductive Medicine is proud to endorse the HOPE with Fertility Services Act (HR 8821).
View the Press Release![Coding Icon](/globalassets/_icons/codingcorner.png)
HyCoSy and CPT 74740
When Office HSG/HyCoSy is performed but no x-ray/fluoroscopic imaging is performed, only ultrasound is done, is it appropriate to bill CPT code 74740? View the Answer![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
Survey shows strong support for increased access to fertility treatments
A new public opinion poll reveals strong support for improved access to In Vitro Fertilization (IVF).
View the Press Release![News Icon](/globalassets/_icons/news.png)
Infertility Awareness
In honor of National Infertility Awareness Week (NIAW), we have rounded up some of our resources on infertility. View infertility resources![News Icon](/globalassets/_icons/news.png)
Leave Your Mark! NIAW April 21-27
National Infertility Awareness Week Action Round-Up Click here to leave your mark during NIAW2024![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
National Infertility Awareness Week 2024: Leave Your Mark
Next week is National Infertility Awareness Week, a federally recognized health observance founded to increase awareness of infertility.
View the Press Release![Document Icon](/globalassets/_icons/document.png)
Tobacco or marijuana use and infertility: a committee opinion (2023)
In the United States, approximately 21% of adults report some form of tobacco use, although 18% report marijuana use. View Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: The future of REI Fellowship training: debating opportunities and threats
This exciting collaboration discusses the controversy and future directions for the field of Reproductive Endocrinology and Infertility medicine. View the Video![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Infertility and Subclinical Hypothyroidism
The impact of treating SCH on fertility, obstetric outcomes, and offspring neurocognitive development is debated in the literature. View the Video![Announcement Icon](/globalassets/_icons/announcement.png)
ASRM reacts to Alabama legislation
We are pleased that the legislation passed into law by the Alabama General Assembly will at least allow our members in the state to care for their patients.
View the Press Release![Announcement Icon](/globalassets/_icons/announcement.png)
IVF at the SOTU: Fertility care expected to be major focus at State of the Union
Protecting access to IVF care is expected to be a major theme of the State of the Union on Thursday.
View the Press Release![Document Icon](/globalassets/_icons/document.png)
Ethical obligations in fertility treatment when intimate partners withhold information from each other: an Ethics Committee opinion (2024)
Clinicians should encourage disclosure between intimate partners but should maintain confidentiality where there is no harm to the partner and/or offspring. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Ethical considerations for telemedical delivery of fertility care: an Ethics Committee opinion (2024)
Telemedicine has the potential to increase access to and decrease the cost of care. View the Committee Opinion![Announcement Icon](/globalassets/_icons/announcement.png)
ASRM Responds to Proposed Alabama Legislation
We are proud of our Alabama members and their patients, who have been such incredible advocates working to motivate their legislators to protect IVF.
View the Press Release![Announcement Icon](/globalassets/_icons/announcement.png)
Senate Budget Hearing is Well Timed Following Alabama IVF Ruling
ASRM statement regarding the Senate Budget Committee’s hearing entitled: No Rights to Speak of: The Economic Harms of Restricting Reproductive Freedom.
View the Press Release![Announcement Icon](/globalassets/_icons/announcement.png)
ASRM Responds to Senate’s Failure to Pass Access to Family Building Act
We are disappointed by the Senate’s failure to meet the moment and pass federal legislation protecting access to in vitro fertilization (IVF).
View the Press Release![News Icon](/globalassets/_icons/news.png)
What's New from the Fertility and Sterility Family of Journals
![Announcement Icon](/globalassets/_icons/announcement.png)
ASRM Condemns Profoundly Misguided and Dangerous Court Decision in Alabama
In LePage v Mobile Infirmary Clinic, the Alabama Supreme Court made a decision that flies in the face of medical reality and the needs of the citizens.
View the Press Release![News Icon](/globalassets/_icons/news.png)
NEW from ASRM Academy: Basic Infertility for Healthcare Providers
ASRM is proud to introduce our updated course: Basic Infertility for Healthcare Providers. Learn more with an overview from Instructional Designer, Harriet Smith, MEd![News Icon](/globalassets/_icons/news.png)
What's New from the Fertility and Sterility Family of Journals
Here’s a peek at this month’s issues from our family of journals! As an ASRM Member, you can access all of our journals. Not yet a member? Click here(no link) to learn more. Find More![Announcement Icon](/globalassets/_icons/announcement.png)
ASRM applauds introduction of Access to Family Building Act of 2024
ASRM is thrilled by the introduction of the Access to Family Building Act
View the Press Release![News Icon](/globalassets/_icons/news.png)
Resource Roundup: Thyroid Health
January is Thyroid Health Awareness Month! View the resource roundup!![Document Icon](/globalassets/_icons/document.png)
Definition of infertility: a committee opinion (2023)
‘‘Infertility’’ is a disease, condition, or status characterized by several factors. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Diagnostic evaluation of sexual dysfunction in the male partner in the setting of infertility: a committee opinion (2023)
It is the responsibility of the clinician to assess for erectile dysfunction, ejaculatory dysfunction, or diminished libido in men presenting for infertility. View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Actualización en la suplementación con progesterona en fase lútea para transferencias de embriones congelados
Efectividad del rescate de progesterona en mujeres que presentan niveles bajos de progesterona circulante alrededor del día de la transferencia de embriones View the Video![Document Icon](/globalassets/_icons/document.png)
The International Glossary on Infertility and Fertility Care, 2017†‡§ (2017)
Terms and definitions currently used infertility care, infertility and medically assisted reproduction (MAR) can have different meanings that are dependent upon the setting, their usage in research or clinical interventions, or among diverse populations.View the Committee Joint Guideline
![Coding Icon](/globalassets/_icons/codingcorner.png)
Surgery Coding
I took the ASRM coding course, and in that course, coding for bilateral neosalpingostomies was coded using only a dx of N70.11 (hydrosalpinx). View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Post Vasectomy Infertility
If a husband has had a vasectomy, does the sterilization code apply to the wife's visits? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Pregnancy Of Uncertain Viability Ultrasound
My staff is telling me that I am getting reimbursed for the first sonogram and OB visit (using ICD 10 code for pregnancy of uncertain viability – O36.80X0. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Pregnancy Ultrasound
Our practice does routine ultrasounds (sac check- 76817) at the end of an IVF cycle and bill with a diagnosis code O09.081, pregnancy resulting from ART. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Self-referred New Patient
A patient self-refers to our physician for an initial new patient consultation instead of referred by another physician, how do we code for the consult? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Telephone Consult
Does a physician need to speak directly to a patient to code for a telephone consult (99371-99373) or can a staff member relay physician notes to patients? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Testing With No History of Infertility
What diagnosis codes should providers submit to insurance carriers while trying to evaluate fertility issues? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Psychological Evaluation
Many REs require patients (and their spouses/partners) who are considering using donor gametes to see an infertility counselor first. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IUI or IVF
Should other ovarian dysfunction (diagnosis code E28.8) or unspecified ovarian dysfunction (diagnosis code E28.9) can be used for an IUI or an IVF cycle View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Infertility Consult
Does ASRM have any examples of evaluation and management documentation for patients being seen for an initial infertility evaluation? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Infertility Consult by Nurse
What code is used for a nurse practitioner seeing a fertility patient for the first time? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Initial Visit for Infertility With No Mandated Coverage
What code would be appropriate for an initial visit for infertility? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Monitoring E&M
Our group would like to know if others are billing an evaluation and management code for ultrasound and blood draw visits? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
New vs Established Patient
How soon can you bill as a new infertility patient? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Hysteroscopy Recurrent Implantation Failure
What is the appropriate ICD-10 code for recurrent implantation failure? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
General E&M Consult
Recently we have received a “re-code” on a new patient (we billed a 99203 and the insurance re-coded it to a 99213). View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
D&C Under Ultrasound Guidance
What are the CPT codes and ICD-10 codes for coding a surgical case for a patient with history of Stage B adenocarcinoma of the cervix ... View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Diagnosis of Infertility for IVF Procedure
How important is it to have accurate documentation of the type of infertility diagnosis for IVF procedures? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Diagnostic Testing of an Infertile Couple
The Z31.41 is or is not the correct code to use for diagnostic testing of an infertile couple? And If so can if be used as the primary and only code? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Blood Draws
If a patient comes in only for a blood draw (venipuncture) and is seen only by the lab technician (not an MD, PA, or NP), may we bill for a (minimal) office visit? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Blood Tests
Patients are requesting to have lab work drawn from the female patient moved to the males account due to the female fertility coverage being maxed out. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Male Infertility
A summary of common codes for Male Infertility compiled by the ASRM Coding Committee. View the Coding Summary![Document Icon](/globalassets/_icons/document.png)
ASRM müllerian anomalies classification 2021
The Task Force set goals for a new classification and chose to base it on the iconic AFS classification from 1988 because of its simplicity and recognizability. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Intracytoplasmic sperm injection (ICSI) for non–male factor indications: a committee opinion (2020)
Intracytoplasmic sperm injection is frequently used in combination with assisted reproductive technologies. View the Committee Document![Document Icon](/globalassets/_icons/document.png)
Moving innovation to practice: an Ethics Committee opinion (2021)
The introduction of new strategies, tests, and procedures into clinical practice raises challenging ethical issues. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Fertility evaluation of infertile women: a committee opinion (2021)
Diagnostic evaluation for infertility in women should be conducted in a systematic, expeditious, and cost-effective manner. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Fertility treatment when the prognosis is very poor or futile: an Ethics Committee opinion (2019)
The Ethics Committee recommends that in vitro fertilization (IVF) centers develop patient-centered policies regarding requests for futile treatment. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Use of exogenous gonadotropins for ovulation induction in anovulatory women: a committee opinion (2020)
Pretreatment evaluation, indications, treatment regimens, and complications of gonadotropin treatment. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Reproductive and hormonal considerations in women at increased risk for hereditary gynecologic cancers: Society of Gynecologic Oncology and American Society for Reproductive Medicine Evidence-Based Review (2019)
Providers who care for women at risk for hereditary gynecologic cancers must consider the impact of these conditions. View the Joint Statement![Document Icon](/globalassets/_icons/document.png)
Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Updated 2019)
This ASRM guidance specifically addresses Zika virus infection issues and concerns of individuals undergoing assisted reproductive technologies (ART). View the Guideline![Document Icon](/globalassets/_icons/document.png)
Current recommendations for vaccines for female infertility patients: a committee opinion (2018)
Encounters for infertility care are opportunities to assess and update immunization status. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
American Society for Reproductive Medicine position statement on uterus transplantation: a committee opinion (2018)
Following the birth of the first child from a transplanted uterus in Gothenburg, Sweden, in 2014, other centers worldwide have produced scientific reports. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Child-rearing ability and the provision of fertility services: an Ethics Committee opinion (2017)
Fertility programs may withhold services on the basis that patients will be unable to provide minimally adequate or safe care for offspring. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Removal of myomas in asymptomatic patients to improve fertility and/or reduce miscarriage rate: a guideline (2017)
This review evaluates if uterine myomas impact likelihood of pregnancy and pregnancy loss, and if myomectomy influences pregnancy outcomes. View the Guideline![Document Icon](/globalassets/_icons/document.png)
Subclinical hypothyroidism in the infertile female population: a guideline (2015)
There is controversy regarding whether to treat subtle abnormalities of thyroid dysfunction in the infertile female patient. View the Committee Guideline![Document Icon](/globalassets/_icons/document.png)