Fertility Preservation
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Coding Q&A
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Mental-health Services During Assisted Reproduction
A summary of codes for Mental-health Services During Assisted Reproduction compiled by the ASRM Coding Committee.![Coding summaries teaser](/globalassets/_asrm/practice-guidance/coding/coding-summaries_teaser.png)
Recurrent Pregnancy Loss (RPL)
Strategy for coding for a patient with RPL - codes compiled by the ASRM Coding Committee.![Coding summaries teaser](/globalassets/_asrm/practice-guidance/coding/coding-summaries_teaser.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.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
![Coding Icon](/globalassets/_icons/codingcorner.png)
Reimplantation of cryopreserved ovarian tissue
What is the correct code for laparoscopic reimplantation of ovarian tissue? 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)
Elective fertility preservation is ART
From an insurance standpoint, is fertility preservation is considered an assisted reproductive technology or would it be branched under other? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Oocyte Preservation Consult
Our center performs oocyte preservation procedures for women looking to preserve their fertility. View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Fertility Preservation Consult
What code are we supposed to use for counseling regarding fertility preservation for an individual with cancer... View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Cycle Monitoring Fertility Preservation
If the patient is undergoing ultrasound tracking visits for fertility preservation, what I ICD-10 code do you use for the monitoring? 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)
Fertility Preservation
A summary of codes for Fertility Preservation compiled by the ASRM Coding Committee. View the Coding Summary![Document Icon](/globalassets/_icons/document.png)
Access to fertility services by transgender and nonbinary persons: an Ethics Committee opinion (2021)
The provision of fertility services to transgender individuals and the denial of access to fertility services is not justified. 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)
Fertility preservation in patients undergoing gonadotoxic therapy or gonadectomy: a committee opinion (2019)
Patients preparing to undergo gonadotoxic medical therapy, radiation therapy, or gonadectomy should be provided with prompt counseling regarding available options for fertility preservation for iatrogenic infertility. 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![Membership Icon](/globalassets/_icons/membership.png)
Fertility Preservation Special Interest Group (FPSIG)
The FPSIG promotes knowledge on infertility induced by cancer therapy and other medical treatments. Learn more about FPSIGTopic Resources
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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![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![Coding Icon](/globalassets/_icons/codingcorner.png)
Mandated 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 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![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometrioma
Surgery was performed under anesthesia for Aspiration of right hyrosalpinx fluid and right endometrioma. 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)
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)
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![Coding Icon](/globalassets/_icons/codingcorner.png)
Billing 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Total versus Free estradiol
Should patients with fertility issues be billing Estradiol Free (82681) instead of Estradiol Total (82670)? View the Answer![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)
Vitamin 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 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)
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)
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)
ICD-10 Code For Intrauterine Insemination (IUI) For Same-Sex Couple
Which ICD-10 code you recommend for IUI same gender couples? 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)
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)
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)
Frozen Embryo Transport
What is the code for the cost of frozen embryo transport? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Diagnosis 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 Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Donor 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 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)
Billing 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 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 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 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)
Claim Form for Donor Egg Retrieval
What bill form is used of IVF donor egg retrieval? View the Answer![Coding Icon](/globalassets/_icons/codingcorner.png)
Coding 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 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)
PCOS
A summary of codes for PCOS as compiled by the ASRM Coding Committee. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Recurrent Pregnancy Loss (RPL)
Strategy for coding for a patient with RPL - codes 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![Coding Icon](/globalassets/_icons/codingcorner.png)
Embryo Transfer
A summary of Embryo Transfer codes collected by the ASRM Coding Committee View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Endometriosis
A summary of common codes for Endometriosis compiled by the ASRM Coding Committee View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Fibroids
A summary of codes to use with fibroids and myomas compiled by the ASRM Coding Committee View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Fertility Preservation
A summary of codes for Fertility Preservation compiled by the ASRM Coding Committee. View the Coding Summary![Coding Icon](/globalassets/_icons/codingcorner.png)
Jan 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 Letter![Coding Icon](/globalassets/_icons/codingcorner.png)
Feb 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 Letter![Coding Icon](/globalassets/_icons/codingcorner.png)
Jan 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 Letter![Coding Icon](/globalassets/_icons/codingcorner.png)
Jan 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 Letter![Coding Icon](/globalassets/_icons/codingcorner.png)