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Male Consult


My group was wondering if and how to code for a male partner consultation. We and others we know code only for a new female patient visit but we do see both the male and female, take two histories, do a physical exam on both, and engage them both in education and decision making and well as order labs and a semen analysis. Can and should we be billing each patient as a new visit? If so, would we just bill the appropriate level of complexity?

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Coding Q&A

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Coding ART Clinical Care teaser

Billing for E/M Visits

When billing Evaluation & Management (E/M) visits based on medical decision-making, would we
Coding ART Clinical Care teaser

When to use code Z31.83

When a patient is completing an approved fertility cycle, is it necessary
Coding ART Clinical Care teaser

Timed Intercourse Cycle Codes

Is it appropriate to utilize codes N97.8 or
Coding ART Clinical Care teaser

Billing Physician vs Service Physician

What physician’s name must be on the treatment notes and who we are permitted to bill to insurance for:  

Coding Corner


Coding Corner is segmented into the following sections. Click an image below to view questions and answers in that section.


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Dec 3, 2024, 3:30 PM CT - Andrology Fellowship Match Updates for the 2025 Match

Discover the latest on Andrology fellowship match updates, 2024 Match success, statistics, violations, survey results, and 2025 improvements. Join this informative webinar.

Register For The Webinar
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ASRM Today: Equity, Access, and Innovation, Episode Eight: ASRM 2024 Preview Part Two

Explore key sessions at ASRM 2024, including mental health in fertility care, male infertility research, and equitable contraceptive access. Join the discussions in Denver. Listen to the Episode
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AUA Releases Male Infertility Guideline Amendment

The AUA, in collaboration with the American Society for Reproductive Medicine (ASRM), has released the 2024 amendment to the Male Infertility Guideline.

View the Press Release
Coding Icon

Billing for the partner workup

Are most practices in REI billing male partners for their history? We also order labs and sperm count on all male partners. View the Answer
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Billing both partners for 99205 initial consultation

We discussed the ability to bill 99205 for an initial consultation on both the male and female partners if they both present for the consultation.  View the Answer
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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
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TESE test thaws

We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures. View the Answer
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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
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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
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Testing With No History of Infertility

What diagnosis codes should  providers submit to insurance carriers while trying to evaluate fertility issues? View the Answer
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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
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If a husband has had a vasectomy, does the sterilization code apply to the wife's visits? View the Answer
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Is there a list of RVUs for embryology and andrology laboratory procedures, and if so, where can it be found? View the Answer
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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
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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
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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
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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
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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
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Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Updated 2019)

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Improving the Reporting of Clinical Trials of Infertility Treatments (IMPRINT): modifying the CONSORT statement (2014)

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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