Embryo Biopsy PGS Testing
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Coding Q&A
View more Coding Q&A in this category![Coding ART Lab teaser](/globalassets/_asrm/practice-guidance/coding/coding_art_lab_teaser.png)
Billing for assisted hatching at biopsy and transfer
We would also like to know if you can bill assisted hatching with biopsy and then assisted hatching again during the transfer cycle.![Coding ART Lab teaser](/globalassets/_asrm/practice-guidance/coding/coding_art_lab_teaser.png)
Sperm wash/IUI
Is CPT code 89260 is correct to use for our sperm wash/IUI procedure?![Coding ART Lab teaser](/globalassets/_asrm/practice-guidance/coding/coding_art_lab_teaser.png)
Coding PGT requisitions to the PGT lab
Do you have any recommended codes to use for PGT requisitions to the PGT lab?![Coding ART Lab teaser](/globalassets/_asrm/practice-guidance/coding/coding_art_lab_teaser.png)
Billing for cryopreservation procedures on different days
I understand that if cryopreservation of oocytes is performed on two separate dates of service, each date of service was billable.More Resources
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ASRM MAC Tool 2021
The ASRM Müllerian Anomaly Classification 2021 (MAC2021) includes cervical and vaginal anomalies and standardize terminology within an interactive tool format.
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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.
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ASRM Practice Documents
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ASRM Ethics Opinions
Ethics Committee Reports are drafted by the members of the ASRM Ethics Committee on the tough ethical dilemmas of reproductive medicine.
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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.
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COVID-19 Resources
A compendium of ASRM resources concerning the Novel Corona virus (SARS-COV-2) and COVID-19.
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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
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Billing for assisted hatching at biopsy and transfer
We would also like to know if you can bill assisted hatching with biopsy and then assisted hatching again during the transfer cycle. View the Answer![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
ASRM Files Amicus Brief in Texas Embryo Case
ASRM has filed an amicus curiae (friend of the court) brief in the case of Antoun v Antoun, which is pending before the Texas Supreme Court.
View the Press Release![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
IVF-assisted pregnancies constitute 2.5% of all births in 2022
In 2022, the number of babies born from IVF increased from 89,208 in 2021 to 91,771 in 2022. This means that 2.5% of births in the US are a result of ART.
View the Press Release![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Unplugged: March 2024
Topics include: melatonin and implantation (4:38), whole-genome screening of embryos, and bioengineering assisted reproductive technology. Listen to the Episode![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Live from PCRS 2024
Fertility & Sterility on Air brings you the highlights from the 2024 Annual Meeting of the Pacific Coast Reproductive Society. Listen to the Episode![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
ASRM provides testimony to Senate Judiciary Committee on threats facing IVF
ASRM shared with the Senate Judiciary Committee the dangers to reproductive medicine nearly two years after the Dobbs decision.
View the Press Release![Legal Icon](/globalassets/_icons/legal.png)
Alabama Supreme Court Rules Frozen Embryos are “Unborn Children” and admonishes IVF’s “Wild West” treatment
Legally Speaking™ on presenting facts and reflecting on the impact and potential implications of legal developments in ART. View the Column![News Icon](/globalassets/_icons/news.png)
What's New from the Fertility and Sterility Family of Journals
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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![Coding Icon](/globalassets/_icons/codingcorner.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. View the Answer![Document Icon](/globalassets/_icons/document.png)
Clinical management of mosaic results from preimplantation genetic testing for aneuploidy of blastocysts: a committee opinion (2023)
This document incorporates studies about mosaic embryo transfer and provides evidence-based considerations for embryos with mosaic results on PGT-A. View the Committee Opinion![Legal Icon](/globalassets/_icons/legal.png)
Frozen Embryo Destruction and Potential Travel Restrictions for Surrogacy Arrangements
Legally Speaking™ focuses on the impact and the potential implications of legal developments on the assisted reproductive technologies. View the Column![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Transferencia de embriones frescos versus congelados: ¿Cuál es la mejor opción
Los resultados de nuevas técnicas de investigación clínica que utilizan información de bancos nacionales de vigilancia médica. View the Video![Document Icon](/globalassets/_icons/document.png)
Defining embryo donation: an Ethics Committee opinion (2023)
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Does the number of eggs being frozen matter?
There is currently only one CPT code for the cryopreservation of mature oocytes and embryos. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Reproductive Tissue Storage
What are the CPT codes for the Storage of Reproductive Cells/Tissues? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
ICSI and Embryo Biopsy
How to bill for ICSI or embryo biopsies that occur in different days? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Lab RVUs
Is there a list of RVUs for embryology and andrology laboratory procedures, and if so, where can it be found? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Storage Fees For Multiple Cycles
We bill embryo storage 89342 for a year's storage. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Biopsy
Have any new codes been introduced for the lab portion of PGT? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Biopsy Embryologist Travel Costs
Can we bill insurance for the biopsy procedure? Can we bill for travel expenses? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Biopsy PGS Testing
What codes are appropriate for PGS testing? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Co-culture
Can codes 89250 and 89251 be billed on different days of the same cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Culture Denied As Experimental
We have received denials from insurance payers when billing CPT code 89251. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Culture Less Than And More Than Four Days
When coding 89250 culture of oocytes/embryo <4 days, should that code be submitted to the insurance company for each of the days? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Freezing/Thawing
Our question refers to the CPT code 89258 “Cryopreservation; Embryo(s)” and 89352 “Thawing of Cryopreserved; Embryo”. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Thawing/Warming
Is it allowable to bill 89250 for the culture of embryos after thaw for a frozen embryo transfer (FET) cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Gamete Thawing/Warming
Can patients be charged for each vial/straw of reproductive gametes or tissues thawed? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Assisted Hatching Billed With Embryo Biopsy
Do you know if both assisted hatching (89253) and embryo biopsy for PGS/PGD/CCS (89290/89291) can be billed during the same cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Assisted Zona Hatching
Can assisted hatching and embryo biopsy for PGT-A; PGT-M or PGT-SR be billed during the same cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing For Cryopreservation Of Embryos Under The Male Partner
Can 89258 be billed under the male partner of a female patient? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Transfer
A summary of Embryo Transfer codes collected by the ASRM Coding Committee View the Coding Summary![Legal Icon](/globalassets/_icons/legal.png)
Colorado court balances religious and secular beliefs in frozen embryo divorce dispute
The day before the Dobbs decision, the Colorado Court of Appeals ruled on a divorcing couple’s disputed control over their frozen embryos. View the Legally Speaking![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Is PGT-P cutting edge or should we cut it out?
PGT for polygenic risk scoring (PGT-P) is a novel screening strategy of embryos for polygenic conditions and traits. View the Video![Document Icon](/globalassets/_icons/document.png)
Disposition of unclaimed embryos: an Ethics Committee opinion
Programs should create and enforce written policies addressing the designation, retention, and disposal of unclaimed embryos. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
A review of best practices of rapid-cooling vitrification for oocytes and embryos: a committee opinion (2021)
The focus of this paper is to review best practices for rapid-cooling cryopreservation of oocytes and embryos. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Ethics in embryo research: a position statement by the ASRM Ethics in Embryo Research Task Force and the ASRM Ethics Committee (2020)
Scientific research using human embryos advances human health and offspring well-being and provides vital insights into the mechanisms for reproduction and disease. Research involving human embryos is ethically acceptable if it is likely to provide significant new knowledge that may benefit human health, well-being of the offspring, or reproduction. View the Committee Opinion![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)
Blastocyst culture and transfer in clinically assisted reproduction: a committee opinion (2018)
The purposes of this document is to review the literature regarding the clinical application of blastocyst transfer. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Posthumous retrieval and use of gametes or embryos: an Ethics Committee opinion (2018)
Posthumous gamete (sperm or oocyte) retrieval or use for reproductive purposes is ethically justifiable if written documentation from the deceased authorizing the procedure is available. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Disclosure of medical errors involving gametes and embryos: an Ethics Committee opinion (2016)
Medical providers have an ethical duty to disclose clinically significant errors involving gametes and embryos as soon as they are discovered. Clinics also should have written policies in place for reducing and disclosing errors. View the Committee Document![Document Icon](/globalassets/_icons/document.png)
Recommended practices for the management of embryology, andrology, and endocrinology laboratories: a committee opinion (2014)
A general overview for good management practices within the endocrinology, andrology, and embryology laboratories in the United States. View the Recommendation![Document Icon](/globalassets/_icons/document.png)
Informed consent and the use of gametes and embryos for research: a committee opinion (2014)
The ethical conduct of human gamete and embryo research depends upon conscientious application of principles of informed consent. View the Committee Opinion![Tool Icon](/globalassets/_icons/tool_app.png)
ASRM EDGE Tool
Get the EDGE on your fellow Embryologists! As the grading of embryos varies within IVF laboratories and between laboratories, EDGE allows you to compare yourself against embryologists in the US and around the world. Learn more about the EDGE ToolTopic Resources
![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - TOC: May 2024
Topics this month include Iatrogenic and demographic determinants of the national plural birth increase, outcomes between ICSI and IVF with PGT-A. Listen to the Episode![Coding Icon](/globalassets/_icons/codingcorner.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. View the Answer![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Unplugged: March 2024
Topics include: melatonin and implantation (4:38), whole-genome screening of embryos, and bioengineering assisted reproductive technology. Listen to the Episode![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Cost effectiveness analyses of PGT-A
Infertility treatments can be financially burdensome, often without insurance coverage, making understanding the cost effectiveness of PGT-A crucial. View the Video![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - TOC: February 2024
Topics this month include the optimial AMH level in oocyte donors, the role of mean number of DNA breakpoints (MDB) in sperm DNA integrity, and more. Listen to the Episode![Podcast Icon](/globalassets/_icons/podcast.png)
ASRM Today: Genetic Counseling Complexities with Katherine Hornberger
Katherine Hornberger stops by to talk about some of the complexities that can come with genetic counseling in areas such as carrier screenings and more. Listen to the Episode![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding PGT requisitions to the PGT lab
Do you have any recommended codes to use for PGT requisitions to the PGT lab? View the Answer![Document Icon](/globalassets/_icons/document.png)
Clinical management of mosaic results from preimplantation genetic testing for aneuploidy of blastocysts: a committee opinion (2023)
This document incorporates studies about mosaic embryo transfer and provides evidence-based considerations for embryos with mosaic results on PGT-A. View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Revisiting the STAR trial: The Fellows debate PGT-A
We are excited to host a debate covering the pros and cons of PGT-A and how new technologies should be validated before clinical implementation. View the Video![Coding Icon](/globalassets/_icons/codingcorner.png)
Sperm DNA Fragmentation
Is there a CPT code for HALO DNA Fragmentation for sperm? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Results Review
What CPT code is most appropriate to submit for Physician Time to review CCS/PGS/PGD results? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
ICSI and Embryo Biopsy
How to bill for ICSI or embryo biopsies that occur in different days? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Genetic Counseling
Does ASRM have any guidance for how to bill for genetic counseling services provided by a genetic counselor?View the Answer
![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Biopsy
Have any new codes been introduced for the lab portion of PGT? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Biopsy Embryologist Travel Costs
Can we bill insurance for the biopsy procedure? Can we bill for travel expenses? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Biopsy PGS Testing
What codes are appropriate for PGS testing? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Assisted Zona Hatching
Can assisted hatching and embryo biopsy for PGT-A; PGT-M or PGT-SR be billed during the same cycle? View the Answer![Document Icon](/globalassets/_icons/document.png)
Indications and management of preimplantation genetic testing for monogenic conditions: a committee opinion (2023)
ASRM has updated its opinion on PGT for monogenic conditions, providing guidance on clinical and technical complexities. View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - PGT-A - Can non-invasive approaches based on spent medium analysis
PGT-A by trophectoderm biopsy aims to select available euploid embryos for transfer. View the Video![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![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Accuracy of Preimplantation Genetic Testing for Aneuploidies
![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)
Use of preimplantation genetic testing for monogenic defects (PGT-M) for adult-onset conditions: an Ethics Committee opinion (2018)
Preimplantation genetic testing for monogenic diseases for adult-onset conditions is ethically permissible for a range of conditions including when the condition is serious and no safe, effective interventions are available. View the Committee Document![Document Icon](/globalassets/_icons/document.png)
Transferring embryos with genetic anomalies detected in preimplantation testing: an Ethics Committee Opinion (2018)
Patient requests for transfer of embryos with genetic anomalies linked to serious health-affecting disorders detected in preimplantation testing are rare but do exist. View the Committee Document![Document Icon](/globalassets/_icons/document.png)
Best practices of ASRM and ESHRE: a journey through reproductive medicine (2012)
ASRM and ESHRE are the two largest societies in the world whose members comprise the major experts and professionals working in reproductive medicine. View the Committee Joint Guideline![Membership Icon](/globalassets/_icons/membership.png)