In Vitro Maturation
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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
![Advocacy Icon](/globalassets/_icons/advocacy.png)
Advocacy in Action
Join the ASRM Advocacy in Action 2024 campaign by making a tax-deductible charitable gift before July 31! Be part of Advocacy in Action![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
ASRM Responds to Senate Vote on IVF Bill
ASRM is disappointed that a filibuster prevented the passage of the Right to IVF Act.
View the Press Release![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
ASRM Calls for Passage of Family Building Bill
It would increase access to IVF treatments for all Americans, including active-duty service members, veterans, and federal employees.
View the Press Release![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![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
ASRM publishes IVF one-pagers for media use
The documents lay out the clinical IVF process, summarize oversight of IVF in the U.S., and explain how lawmakers can support access to IVF.
View the Press Release![Coding Icon](/globalassets/_icons/codingcorner.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. View the Answer![PR Bulletin Icon](/globalassets/_icons/pr_bulletin.png)
ASRM Reacts to Cruz/Britt OPED
We are pleased to see Senators Cruz and Britt express their interest in protecting access to IVF.
View the Press Release![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Unplugged: April 2024
Topics include: IVF in film, a rat model of fallopian tube torsion, comparing letrozole regimens for PCOS, and a review of chronic endometritis. Listen to the Episode![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)
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![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![Podcast Icon](/globalassets/_icons/podcast.png)
ASRM Today: ASRM Policy Matters: Post-Alabama IVF decision advocacy roundup with Jessie Losch
Jessie Losch, ASRM Government Affairs Manager, updates ASRM Today on the advocacy efforts underway post the Alabama Supreme Court decision. Listen to the Episode![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 - 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![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Seminal Article: Dr. Jeremy Applebaum
Listen to this interview featuring Dr. Jeremy Applebaum, who recently published "Impact of coronavirus disease 2019 vaccination on live birth rates after IVF" 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![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - TOC: March 2024
Topics this month include the impact of COVID-19 vaccination on live birth rates after IVF, the "freeze-all" strategy in women with adenomyosis, and more. Listen to the Episode![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![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![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![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![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![Document Icon](/globalassets/_icons/document.png)
Prevention of moderate and severe ovarian hyperstimulation syndrome: a guideline (2023)
Ovarian hyperstimulation syndrome is a serious complication associatedwith assisted reproductive technology. View the guideline![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Unplugged: January 2024
Topics this month include: HCG as a predictor of pregnancy outcome after IVF, progestin ovulation suppression and embryo development, and more. Listen to the Episode![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![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing IVF lab work
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 Answer![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: IVM in Clinical Practice: An Idea Whose Time Has Come?
In vitro maturation (IVM) has the potential to make IVF cheaper, safer, and more widely accessible to patients with infertility. View the Video![Document Icon](/globalassets/_icons/document.png)
Comparison of pregnancy rates for poor responders using IVF with mild ovarian stimulation versus conventional IVF: a guideline (2018)
Mild-stimulation protocols with in vitro fertilization (IVF) generally aim to use less medication than conventional IVF. View the Guideline![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF cycle management and facility fees, an overview
How should IVF Cycle Management be coded? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Limited ultrasound performed by RN
Would it be appropriate to bill a 99211 when an RN is doing a limited ultrasound and documenting findings during an IUI or IVF treatment cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
CPT 89253 and 89254 for Assisted hatching
Can I bill CPT codes 89253 and 89254 together? If yes, do I need a modifier on any of the codes? View the Answer![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - What is the optimal number of oocytes to reach a live-birth following IVF?
The optimal number of oocytes necessary to expect a live birth following in vitro fertilization remains unclear. View the Video![Coding Icon](/globalassets/_icons/codingcorner.png)
Patient Education
What is the correct way to bill for the patient education sessions performed by registered nurses to individual patients prior to their IVF cycle? 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)
IV Fluids During Egg Retrieval
Is it appropriate to bill the insurance company for CPT 96360, Under Hydration Infusion when being used in conjunction with IVF retrieval? 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)
IVF Case Rates
What ICD-10 codes apply to case rates? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Consent Counseling
When a patient is scheduled to undergo IVF and the provider schedules the patient for a 30-minute consultation is this visit billable? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Ovulation Induction Monitoring for IUI
We would like to clarify the correct ICD 10 diagnosis code for monitoring of an IUI cycle. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
In Vitro Maturation
Have CPT codes been established for maturation in vitro? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Billing Forms
I am seeking information on IVF insurance billing guidelines. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Billing Globally
Am I correct in assuming that it is duplicate billing for both the ambulatory center and embryology laboratory to bill globally? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Billing of Professional Charges
Are we allowed to bill professional charges under the physician for the embryologist who performs the IVF laboratory services? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Lab Case Rates
What ICD-10 codes apply to case rates? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Oocyte Denudation
Is there is a separate code for denudation of oocytes? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometrial Biopsy/Scratch
What CPT code should be used for a “scratch test”? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometriosis and Infertility
For treatment like IVF would we bill with N97.x first or an endometriosis diagnosis? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Follicle Monitoring For Diminished Ovarian Reserve
If a patient has decreased ovarian reserve (ICD-10 E28.8) and patient is undergoing follicle tracking to undergo either an IUI cycle or IVF cycle... View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Global 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 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)
Egg Culture and Fertilization
We are billing for the technical component of 89250 and would like to also bill a professional component of the 89250. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Egg Culture and Fertilization: Same Gender
A same-sex male couple requested half their donor eggs be fertilized with sperm from male #1 and the other half fertilized from male #2. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Donor Embryos
Could you give guidance for the correct ICD-10 code(s) to use when a patient is doing an Anonymous Donor Embryo Transfer cycle? View the Answer![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Natural versus Programmed FET Cycles
![Document Icon](/globalassets/_icons/document.png)
Role of assisted hatching in in vitro fertilization: a guideline (2022)
There is moderate evidence that assisted hatching does not significantly improve live birth rates in fresh assisted reproductive technology cycles View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Best Practices of High Performing ART Clinics
This Fertility and Sterility Journal Club Global discusses February’s seminal article, “Common practices among consistently high-performing in vitro fertilization programs in the United States: a 10 year update.” View the Video![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global Live from India - Adjuvants in IVF and IVF Add-Ons for the Endometrium
Many adjuvants have been utilized by IVF centers to improve their success rates. View the Video![Document Icon](/globalassets/_icons/document.png)
Evidence-based outcomes after oocyte cryopreservation for donor oocyte in vitro fertilization and planned oocyte cryopreservation: a guideline (2021)
A review of success rates, factors that may impact success rates, and outcomes. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Development of an emergency plan for in vitro fertilization programs: a committee opinion (2021)
All IVF programs and clinics should have a plan to protect fresh and cryopreserved human specimens (embryos, oocytes, sperm). View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
In vitro maturation: a committee opinion (2021)
The results of in vitro maturation (IVM) investigations suggest the potential for wider clinical application. 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)
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)
The role of immunotherapy in in vitro fertilization: a guideline (2018)
Adjuvant immunotherapy treatments in in vitro fertilization (IVF) aim to improve the outcome of assisted reproductive technology (ART) in both the general ART population as well as subgroups such as patients with recurrent miscarriage or implantation failure. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Performing the embryo transfer: a guideline (2017)
A systematic review of the literature was conducted which examined each of the major steps of embryo transfer. Recommendations made for improving pregnancy rates are based on interventions demonstrated to be either beneficial or not beneficial. (Fertil Steril® 2017;107:882–96. ©2017 by American Society for Reproductive Medicine.) View the Committee Guideline![Document Icon](/globalassets/_icons/document.png)
Financial ‘‘risk-sharing’’ or refund programs in assisted reproduction: an Ethics Committee opinion (2016)
Financial ‘‘risk-sharing’’ fee structures in assisted reproduction programs charge patients a higher initial fee but provide reduced fees for subsequent cycles and often a partial or complete refund if treatment fails. 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)
In Vitro Maturation Special Interest Group (IVMSIG)
IVMSIG strives to define the best strategies to optimize IVM outcomes. Learn more about IVMSIG![Advocacy Icon](/globalassets/_icons/advocacy.png)
What support for IVF looks like
Bipartisan support for IVF, that is responsible for the birth of over 2% of all babies born in the USA each year, will ensure that families continue to grow. View the advocacy resource![Advocacy Icon](/globalassets/_icons/advocacy.png)
It takes more than one
Why IVF patients often need multiple embryos to have a baby View the advocacy resource![Advocacy Icon](/globalassets/_icons/advocacy.png)
Oversight of IVF in the US
In the US, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. View the advocacy resource![Advocacy Icon](/globalassets/_icons/advocacy.png)
Advocacy Resources
ASRM has prepared resources to help explain and advocate for reproductive rights and the continuation of in vitro fertilization and other fertility treatments. View the advocacy resourcesTopic Resources
![Document Icon](/globalassets/_icons/document.png)
Family members as gamete donors or gestational carriers: an Ethics Committee opinion (2024)
The use of adult intrafamilial gamete donors and gestational surrogates is ethically acceptable when all participants are fully informed and counseled. View the Committee Document![Coding Icon](/globalassets/_icons/codingcorner.png)
Semen analysis and thaw code
Can we use the semen analysis presence and motility (89300) code along with a reproductive tissue thaw code (89354) View the Answer![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![Coding Icon](/globalassets/_icons/codingcorner.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. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Diagnosis code for donation
What is the diagnosis code for an embryo donation versus egg donation? 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![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![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![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![Document Icon](/globalassets/_icons/document.png)
Prevention of moderate and severe ovarian hyperstimulation syndrome: a guideline (2023)
Ovarian hyperstimulation syndrome is a serious complication associatedwith assisted reproductive technology. View the guideline![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![Coding Icon](/globalassets/_icons/codingcorner.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. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Measurements to report with ultrasound codes
Are there clear guidelines as to what measurements are required in order to bill for each type of ultrasound? VIew the Answer![Coding Icon](/globalassets/_icons/codingcorner.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. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing IVF lab work
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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Estradiol Free versus Total
Should patients with fertility issues be billing Estradiol Free (82681) instead of Estradiol Total (82670)? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Cycle coordination fees and 99499, S4042
I reviewed cycle coordination fees, but see that there is no specific code for cycle management. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Supervising 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 Answer![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
![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![Document Icon](/globalassets/_icons/document.png)
Informed consent in assisted reproduction: an Ethics Committee opinion (2023)
Informed consent is a process in which the patient is supported in developing an understanding of medical options. View the Ethics Committee Opinion![Coding Icon](/globalassets/_icons/codingcorner.png)
Unlisted Fertility Treatment CPT Code
Can you please refer me to an unlisted management CPT code for fertility treatment? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Z 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Pregnancy Of Unknown Location
What is the most appropriate ICD-10 code for pregnancy of unknown location (not an ectopic pregnancy)? 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)
IUI Same Gender
When managing an IUI or IVF cycle for a female same sex couple or a patient that has no exposure to sperm, what ICD 10 diagnosis should be used? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Case Rates
What ICD-10 codes apply to case rates? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Limited Monitoring Ultrasound
What is the appropriate code to use for a limited follow-up follicular transvaginal ultrasound? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Limited Transvaginal Ultrasound
One of our clients received information that a repeat limited transvaginal ultrasound should be billed with a limited pelvic ultrasound code (76857). 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)
Monitoring FET
What is the correct diagnosis code to use on the follicle ultrasound (76857) for a patient who is undergoing frozen embryo transfer (FET)? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Monitoring Ovulation Induction By Nurses
We are considering the use of CPT code 99211 for encounters during cycle management as part of ovulation induction. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Non-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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
In Vitro Maturation
Have CPT codes been established for maturation in vitro? 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)
Endometrial Receptivity Analysis
Our physicians are going to start doing an Endometrial Receptivity Analysis. Do you know the appropriate CPT code that should be used?View the Answer
![Coding Icon](/globalassets/_icons/codingcorner.png)
Flat Fee For Outside Monitoring
Can our office charge outside monitoring patients a flat fee to be seen? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Diagnosis Code For Same-Sex Egg Donation
We have a same-sex male couple with insurance coverage for IVF. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Donor Embryos
Could you give guidance for the correct ICD-10 code(s) to use when a patient is doing an Anonymous Donor Embryo Transfer cycle? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing at an Outside Clinic for Lab Services
One of my physicians uses an outside facility to perform the retrievals and transfers. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Board 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding For Placement Of A Cervical Stitch
Physicians at our practice are placing a stitch and dilating the cervix after egg retrievals for those patients that have cervical stenosis. 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)
Mental-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 Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Laboratory 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 Summary![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Evidence for Immunologic Therapies in Women Undergoing ART
Reproductive immunology is perhaps one of the most controversial and promising fields within ART. View the Video![Document Icon](/globalassets/_icons/document.png)
Comprehensive guidance for human embryology, andrology, and endocrinology laboratories: management and operations: a committee opinion (2022)
ASRM has published guidance and minimum standards for embryology and andrology laboratories. View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Best Practices of High Performing ART Clinics
This Fertility and Sterility Journal Club Global discusses February’s seminal article, “Common practices among consistently high-performing in vitro fertilization programs in the United States: a 10 year update.” View the Video![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Fertilization rate as a novel indicator in ART results
This Journal Club Global discusses a provocative article recently published in Fertility and Sterility, discussing the results of a multicenter retrospective cohort study with the objective to appraise the fertilization rate as a predictive factor for cumulative live birth rate (CLBR). View the Video![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Are We Approaching Automation in ART?
Some ART diagnostic devices are already available and offer objective tools of evaluation. View the Video![Document Icon](/globalassets/_icons/document.png)
Guidance on the limits to the number of embryos to transfer: a committee opinion (2021)
ASRM's guidelines for the limits on the number of embryos to be transferred during IVF cycles have been further refined ... View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Role of tubal surgery in the era of assisted reproductive technology: a committee opinion (2021)
This document reviews surgical options for reparative tubal surgery and the factors that must be considered when deciding between surgical repair and IVF.View the Committee Opinion
![Document Icon](/globalassets/_icons/document.png)
Minimum standards for practices offering assisted reproductive technologies: a committee opinion (2021)
A framework for assisted reproductive technology (ART) programs that meet or exceed the requirements suggested by the Centers for Disease Control View the Committee Opinion![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Recurrent Implantation Failures in ART: Myth or Reality?
![Document Icon](/globalassets/_icons/document.png)
The role of immunotherapy in in vitro fertilization: a guideline (2018)
Adjuvant immunotherapy treatments in in vitro fertilization (IVF) aim to improve the outcome of assisted reproductive technology (ART) in both the general ART population as well as subgroups such as patients with recurrent miscarriage or implantation failure. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Financial ‘‘risk-sharing’’ or refund programs in assisted reproduction: an Ethics Committee opinion (2016)
Financial ‘‘risk-sharing’’ fee structures in assisted reproduction programs charge patients a higher initial fee but provide reduced fees for subsequent cycles and often a partial or complete refund if treatment fails. View the Committee Document![Coding Icon](/globalassets/_icons/codingcorner.png)
Correct coding for laboratory procedures during assisted reproductive technology cycles
This document provides updated coding information for services related to assisted reproductive technology procedures. View the Coding 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)
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 GuidelineTopic Resources
![Coding Icon](/globalassets/_icons/codingcorner.png)
TESE test thaws
We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures. View the Answer![Document Icon](/globalassets/_icons/document.png)
Planned oocyte cryopreservation to preserve future reproductive potential: an Ethics Committee opinion (2023)
Planned oocyte cryopreservation is an ethically permissible procedure that may help individuals avoid future infertility. View the Committee Opinion![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding for ovarian tissue cryopreservation
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 Answer![Coding Icon](/globalassets/_icons/codingcorner.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. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Reimbursement 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
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)
Semen Freezing
We have a couple who are doing an IUI cycle. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Sperm Prep in Office vs. Lab
What are the codes for sperm washing when performed in the office vs in a CLIA certified lab? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Sperm Preparation IUI and IVF
What semen analysis codes apply to sperm preparation for IUI or IVF? 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)
Office Testicular Aspiration
We are inquiring about a coding question for testicular aspirations. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Case Rates
What ICD-10 codes apply to case rates? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
In Vitro Maturation
Have CPT codes been established for maturation in vitro? 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 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)
Frozen Embryo Transport
What is the code for the cost of frozen embryo transport? 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)
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)
Coding 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding For Ovarian Tissue Cryopreservation
Now that ASRM has removed the "experimental" designation from ovarian tissue cryopreservation what CPT code should be used instead of 0058T? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Cryopreservation/Vitrification Oocytes/Embryos
What are the correct codes for cryopreservation/Vitrification Oocytes/Embryos? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Cryopreservation/Vitrification Sperm/Testicular Tissues
What are the correct codes for the Cryopreservation/Vitrification of Sperm or testicular tissues? View the Answer![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global: Should everyone freeze oocytes by age 33?
Oocyte cryopreservation is one of the fastest growing areas of reproductive medicine. View the Video![Document Icon](/globalassets/_icons/document.png)
Ethical issues in oocyte banking for nonautologous use: an Ethics Committee opinion (2021)
Medical guidelines applicable to women donating fresh oocytes should also apply to women donating oocytes to an oocyte bank. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Evidence-based outcomes after oocyte cryopreservation for donor oocyte in vitro fertilization and planned oocyte cryopreservation: a guideline (2021)
A review of success rates, factors that may impact success rates, and outcomes. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Development of an emergency plan for in vitro fertilization programs: a committee opinion (2021)
All IVF programs and clinics should have a plan to protect fresh and cryopreserved human specimens (embryos, oocytes, sperm). View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Cryostorage of reproductive tissues in the in vitro fertilization laboratory: a committee opinion (2020)
This document is designed to assist IVF clinics in the management of cryopreserved reproductive tissues stored in cryogenic storage. View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)
Fertility preservation and reproduction in patients facing gonadotoxic therapies: an Ethics Committee opinion (2018)
Chemotherapy and radiation therapy often result in reduced fertility. View the Committee Opinion![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 GuidelineTopic 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![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![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![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![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![Coding Icon](/globalassets/_icons/codingcorner.png)
US Embryo Transfer
At the meeting, we learned about the CPT code 76705-Ultasound guidance for embryo transfer, can this code be billed with CPT code 76942? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
US Embryo Transfer in Surgery Center
Can we use code 76998 for the ultrasound guidance as this patient is being seen in the Surgery Center? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
US Embryo Transfer-Transmyometrial
How would you code for an ultrasound- guided transvaginal-transmyometrial test transfer of embryo catheter? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Uterine Sounding
Is there any specific CPT code(s) for uterine sounding? (Referring to cannulating the cervix and “sounding” or measuring the uterine height) View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
CPT 89253 and 89254 for Assisted hatching
Can I bill CPT codes 89253 and 89254 together? If yes, do I need a modifier on any of the codes? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Trial Transfer
Can you advise the proper coding process for a trial transfer? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Case Rates
What ICD-10 codes apply to case rates? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
IVF Lab vs Physician Practice Billing
We are planning to open an IVF lab that is not contracted with insurance companies. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Monitoring FET
What is the correct diagnosis code to use on the follicle ultrasound (76857) for a patient who is undergoing frozen embryo transfer (FET)? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
In Vitro Maturation
Have CPT codes been established for maturation in vitro? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometrial Biopsy/Scratch
What CPT code should be used for a “scratch test”? 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)
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)
Elective Single Embryo Transfer
Has any progress been made in creating/obtaining a specific CPT code for an elective single embryo transfer (eSET)? 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)
Embryo Transfer
A summary of Embryo Transfer codes collected by the ASRM Coding Committee View the Coding Summary![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global Live from PCRS - Non-Invasive Embryo Selection Techniques
The next great frontier in reproductive medicine is how to non-invasively select an embryo with the highest reproductive potential for transfer. View the Video![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global - Should Fellows Perform Live Embryo Transfers in Fellowship?
Few things are more taboo in reproductive medicine fellowship training than allowing fellows to perform live embryo transfers. View the Video![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global Live from ASRM - Optimal Management of the Frozen Embryo Transfer Cycle: Insights From Recent Literature
Three recent papers published in the Fertility and Sterility family of journals, all explore different aspects of optimizing frozen embryo transfer cycles. View the Video![Document Icon](/globalassets/_icons/document.png)
Compassionate transfer: patient requests for embryo transfer for nonreproductive purposes (2020)
A patient request to transfer embryos into her body in a location or at a time when pregnancy is highly unlikely ... View the Committee Opinion![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)
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)
ASRM standard embryo transfer protocol template: a committee opinion (2017)
Standardization improves performance and safety of embryo transfer View the Committee Opinion![Document Icon](/globalassets/_icons/document.png)