Posted
March 18,
2013
Our experience is that many carriers cover PGD for single-gene defects under the medical benefit, even when the patient lacks IVF coverage. In patients who are fertile, but are using the PGD as a way to avoid the conception of an affected child, is there a way to diagnostically code the IVF cycle that transmits that information to the third-party payer?
Posted
January 28,
2013
For those patients undergoing ovulation induction, our practice is interested an ovulation management fee per treatment cycle. This fee is generated from the physician's review of each monitoring which may include ultrasound and blood tests, as well as designating any changes to the patient's plan for subsequent cycles. We use CPT code 99368, and we put this charge through at the end of the patient’s cycle, typically on the same date as her IUI. We are not being paid by Health Partners for this charge due to a bundling error, do you have any suggestions?
Posted
April 5,
2012
How should I bill for 3-D sonography?
Posted
March 19,
2012
What is the code for frozen embryo transport?
Posted
October 25,
2011
I have a patient with an adenomyoma of the uterine wall that requires surgical excision and uterine repair. This will be a laparotomy and I don’t see an appropriate code.
Posted
December 3,
2009
When billing a sperm wash, 58323, to an insurance company we are lucky to receive $10-$20 which is just ridiculous. Does the sperm wash code cover the semen analysis and morphology, or can we bill separately under the male for these services? We bill the sperm wash under the female.
Posted
June 16,
2009
Is there a code for Tompkins Metroplasty? Our physician performed this procedure recently, and we are unable to determine the appropriate code to file our claim.
Posted
June 16,
2009
New CPT Codes for 2008 Laparoscopic Total Hysterectomy
Posted
June 16,
2009
Is there a CPT Code for "Ovarian Drilling"?
Posted
June 16,
2009
At our center, the intrauterine inseminations are performed by our nurses. At the time of the insemination our nurse assesses the patients for any symptoms, reviews an instruction sheet that educates the patient about the symptoms of ovarian hyperstimulation, tells the patient when to come in for the pregnancy test, and reviews any additional physician instructions. In addition to all the standard charges for the insemination and sperm prep, can we also bill the evaluation management code 99211 with a modifier (-25)?
Posted
June 16,
2009
Our physician currently does all of his own IUIs. We have recently hired an R.N. who has performed IUIs. We are thinking of having her help with our busy cycle months. Can we bill an insurance company for an IUI performed by a nurse? Does the physician have to be present in the office and sign off on office notes? Are there any legal concerns with malpractice in having the nurse perform these services instead of the physician?
Posted
June 16,
2009
Does the code for intrauterine insemination (IUI) (58322) include the office visit (E/M) for that day, or is that only for the actual procedure?
Posted
June 16,
2009
How do I code for therapeutic donor insemination for an unmarried female with no known fertility issues except no partner?
Posted
June 16,
2009
What is the proper ICD-9 code to use for a patient undergoing artificial insemination purely for sex preselection?
Posted
June 16,
2009
We have a couple who are doing an IUI cycle. The husband is expected to be out of town on the day of the insemination, so we've had him come to our office so we can collect and cryopreserve the specimen. We also have to wash the specimen. I know the CPT codes: 89261 and 89259. What would be the best ICD-9 code to use in this situation?
Posted
June 15,
2009
How do you code for Ultrasonography performed at the time of an embryo transfer?
Posted
June 15,
2009
If the answer is “if you perform the injection of contrast for an HSG at a radiology facility, you can report 58340: introduction of saline or contrast.” Should you not also bill 76831-26?
Posted
June 15,
2009
How do you code for a hysterosalpingogram or saline hysterosonogram?
Posted
June 15,
2009
What code should be used for a vaginal probe ultrasound done to check for follicles during ovulation induction -- 76857 or 76830-52? We are planning to open an IVF lab that is not contracted with insurance companies. The stimulation portion of the IVF cycle will be rendered by the physician’s practice which is contracted with insurance. The retrieval, transfer, embryo culture, etc., will be provided by the IVF lab, those services will be paid by the patient, and the patient will seek reimbursement from her insurance if she has coverage. The same physician that monitors the ovulation induction portion of the cycle will be doing the retrievals and transfers in the lab. Is it appropriate to bill the physician's fees for the retrieval (58970) and transfer (58974) under the IVF lab since that is where the service will be provided? Or should those fees be billed under the physician's practice?
Posted
June 15,
2009
We do a lot of abdominal paracenteses on patients at our facility. The first paracentesis that is done on the patient we use 49080 and subsequent paracentesis should be coded 49081. The only thing that I'm able to find is in the Coders' Desk Reference concerning the coding of paracentesis. Are you aware of anything out there in the coding world that gives more information concerning this issue?
Posted
June 15,
2009
What would be the diagnosis code for PGD performed due to a genetic disorder (fragile x syndrome)? Would I use 628.8 for female infertility -- although this is really not correct?
Posted
June 15,
2009
Have any new codes been introduced for the lab portion of preimplantation genetic diagnosis (PGD)?
Posted
June 15,
2009
I am trying to identify the correct CPT code for preimplantation genetic diagnosis (PGD). Could you help?
Posted
June 15,
2009
Our clinic is just starting to do PGD. We currently are flying in an embryologist from out of state to do this procedure for our patients. I have a patient who might have insurance benefits for PGD. Since we are not physically doing the procedure, but are flying in/out the embryologist who prepares the slides, then completes the procedure in his/her own lab, can we bill the insurance? For self-pay patients, we currently collect a one-lump fee, and out of that fee, we pay air fare, hotel, eating expenses, and the embryologist’s professional charges and laboratory charges. We haven’t had to deal with a patient and insurance for this type of service before.
Posted
June 15,
2009
What is the correct ICD-9-CM Coding for screening tests performed by physicians treating infertility patients?
Posted
June 15,
2009
Is there a code for laparoscopic lysis of omental adhesions? Our coder showed me enterolysis, tubolysis, ovariolysis, etc., but I didn't think any of those were right.