Male Infertility
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Coding Q&A
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Male Infertility
A summary of common codes for Male Infertility 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)
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)
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)
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![Podcast Icon](/globalassets/_icons/podcast.png)
Fertility and Sterility On Air - Microdose Interview: Dr. Ranjith Ramaswamy and Dr. Braian Ledesma
Listen to Dr. Ranjith Ramasamy and Dr. Braian Ledesma, who discuss the article "Fertility outcomes in men with prior history of anabolic steroid use." Listen to the Episode![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![Coding Icon](/globalassets/_icons/codingcorner.png)
Semen Analysis For Assessment of Fertility
What is the appropriate diagnostic code to use for a semen analysis for the assessment of infertility? 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)
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)
Male Consult
My group was wondering if and how to code for a male partner consultation. 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)
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![Videos Icon](/globalassets/_icons/videos.png)
Journal Club Global Live from PCRS - ICSI for Non-Male Factor Infertility
While intracytoplasmic sperm injection (ICSI) has revolutionized the treatment of male factor infertility, a significant controversy still remains regarding its ubiquitous use in all IVF cycles. View the Video![Document Icon](/globalassets/_icons/document.png)
Optimizing natural fertility: a committee opinion (2022)
This committee opinion provides practitioners with suggestions for optimizing the likelihood of achieving pregnancy in couples... 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)
Diagnosis and treatment of infertility in men: AUA/ASRM guideline part I (2021)
Part I outlines the appropriate evaluation of the male in an infertile couple. View the Guideline![Document Icon](/globalassets/_icons/document.png)
Diagnosis and Treatment of Infertility in Men: AUA/ ASRM Guideline Part II (2021)
The summary presented is Part II of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline. View the Guideline![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)
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)
Improving the Reporting of Clinical Trials of Infertility Treatments (IMPRINT): modifying the CONSORT statement (2014)
Clinical trials testing infertility treatments often do not report on the major outcomes of interest to patients and clinicians and the public. View the GuidelineTopic Resources
![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![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)
Male Infertility
A summary of common codes for Male Infertility 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)