Reproductive Tissue Storage
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Coding Q&A
View more Coding Q&A in this categoryAppropriate Use of Modifier -25
Is Modifier -25 appropriate in the monitoring cycle when an ultrasoundHow to bill for an FET
Is there a new update to the 89272 code that allows its use withoutCodes for Embryo Biopsy
When doing a preimplantation genetic test (PGT) biopsy, can you bill for each day a biopsy is performed or can you only bill once for the cycle?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.More Resources
ASRM MAC Tool 2021
The ASRM Müllerian Anomaly Classification 2021 (MAC2021) includes cervical and vaginal anomalies and standardize terminology within an interactive tool format.
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.
ASRM Practice Documents
ASRM Ethics Opinions
Ethics Committee Reports are drafted by the members of the ASRM Ethics Committee on the tough ethical dilemmas of reproductive medicine.
Coding Corner Q & A
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COVID-19 Resources
A compendium of ASRM resources concerning the Novel Corona virus (SARS-COV-2) and COVID-19.
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
Oocyte cryopreservation
We code 89337 (cryopreservation of oocytes) for the entire oocyte preservation cycle, including monitoring visits. View the AnswerTESE test thaws
We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures. View the AnswerPlanned 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 OpinionCoding 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 AnswerBilling 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 AnswerReimbursement 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 AnswerCoding 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 AnswerDoes the number of eggs being frozen matter?
There is currently only one CPT code for the cryopreservation of mature oocytes and embryos. View the AnswerSemen Freezing
We have a couple who are doing an IUI cycle. View the AnswerSperm 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 AnswerSperm Preparation IUI and IVF
What semen analysis codes apply to sperm preparation for IUI or IVF? View the AnswerReproductive Tissue Storage
What are the CPT codes for the Storage of Reproductive Cells/Tissues? View the AnswerOffice Testicular Aspiration
We are inquiring about a coding question for testicular aspirations. View the AnswerIVF Case Rates
What ICD-10 codes apply to case rates? View the AnswerOocyte Preservation Consult
Our center performs oocyte preservation procedures for women looking to preserve their fertility. View the AnswerIn Vitro Maturation
Have CPT codes been established for maturation in vitro? View the AnswerEmbryo Storage Fees For Multiple Cycles
We bill embryo storage 89342 for a year's storage. View the AnswerEmbryo Freezing/Thawing
Our question refers to the CPT code 89258 “Cryopreservation; Embryo(s)” and 89352 “Thawing of Cryopreserved; Embryo”. View the AnswerFrozen Embryo Transport
What is the code for the cost of frozen embryo transport? View the AnswerGamete Thawing/Warming
Can patients be charged for each vial/straw of reproductive gametes or tissues thawed? View the AnswerBilling For Cryopreservation Of Embryos Under The Male Partner
Can 89258 be billed under the male partner of a female patient? View the AnswerCoding 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 AnswerCryopreservation/Vitrification Oocytes/Embryos
What are the correct codes for cryopreservation/Vitrification Oocytes/Embryos? View the AnswerCryopreservation/Vitrification Sperm/Testicular Tissues
What are the correct codes for the Cryopreservation/Vitrification of Sperm or testicular tissues? View the AnswerJournal Club Global: Should everyone freeze oocytes by age 33?
Oocyte cryopreservation is one of the fastest growing areas of reproductive medicine. View the VideoEthical 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 OpinionEvidence-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 OpinionDevelopment 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 OpinionCryostorage 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 OpinionFertility 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 OpinionBest 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
How to bill for an FET
Is there a new update to the 89272 code that allows its use without View the AnswerCodes for Embryo Biopsy
When doing a preimplantation genetic test (PGT) biopsy, can you bill for each day a biopsy is performed or can you only bill once for the cycle? View the AnswerBilling 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 AnswerASRM 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 ReleaseIVF-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 ReleaseFertility 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 EpisodeFertility 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 EpisodeAlabama 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 ColumnShipping of frozen embryos
I have some infertility coverage, under which my insurance said they will cover frozen embryo shipping/transport from one facility to another. View the AnswerClinical management of mosaic results from preimplantation genetic testing for aneuploidy of blastocysts: a committee opinion (2023)
This document incorporates studies about mosaic embryo transfer and provides evidence-based considerations for embryos with mosaic results on PGT-A. View the Committee OpinionFrozen Embryo Destruction and Potential Travel Restrictions for Surrogacy Arrangements
Legally Speaking™ focuses on the impact and the potential implications of legal developments on the assisted reproductive technologies. View the ColumnJournal 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 VideoDefining embryo donation: an Ethics Committee opinion (2023)
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 AnswerReproductive Tissue Storage
What are the CPT codes for the Storage of Reproductive Cells/Tissues? View the AnswerICSI and Embryo Biopsy
How to bill for ICSI or embryo biopsies that occur in different days? View the AnswerLab RVUs
Is there a list of RVUs for embryology and andrology laboratory procedures, and if so, where can it be found? View the AnswerEmbryo Storage Fees For Multiple Cycles
We bill embryo storage 89342 for a year's storage. View the AnswerEmbryo Biopsy
Have any new codes been introduced for the lab portion of PGT? View the AnswerEmbryo Biopsy Embryologist Travel Costs
Can we bill insurance for the biopsy procedure? Can we bill for travel expenses? View the AnswerEmbryo Biopsy PGS Testing
What codes are appropriate for PGS testing? View the AnswerEmbryo Co-culture
Can codes 89250 and 89251 be billed on different days of the same cycle? View the AnswerEmbryo Culture Denied As Experimental
We have received denials from insurance payers when billing CPT code 89251. View the AnswerEmbryo Culture Less Than And More Than Four Days
When coding 89250 culture of oocytes/embryo <4 days, should that code be submitted to the insurance company for each of the days? View the AnswerEmbryo Freezing/Thawing
Our question refers to the CPT code 89258 “Cryopreservation; Embryo(s)” and 89352 “Thawing of Cryopreserved; Embryo”. View the AnswerEmbryo Thawing/Warming
Is it allowable to bill 89250 for the culture of embryos after thaw for a frozen embryo transfer (FET) cycle? View the AnswerGamete Thawing/Warming
Can patients be charged for each vial/straw of reproductive gametes or tissues thawed? View the AnswerD&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 AnswerAssisted Zona Hatching
Can assisted hatching and embryo biopsy for PGT-A; PGT-M or PGT-SR be billed during the same cycle? View the AnswerBilling For Cryopreservation Of Embryos Under The Male Partner
Can 89258 be billed under the male partner of a female patient? View the AnswerEmbryo Transfer
A summary of Embryo Transfer codes collected by the ASRM Coding Committee View the Coding SummaryColorado court balances religious and secular beliefs in frozen embryo divorce dispute
The day before the Dobbs decision, the Colorado Court of Appeals ruled on a divorcing couple’s disputed control over their frozen embryos. View the Legally SpeakingJournal Club Global: Is PGT-P cutting edge or should we cut it out?
PGT for polygenic risk scoring (PGT-P) is a novel screening strategy of embryos for polygenic conditions and traits. View the VideoDisposition of unclaimed embryos: an Ethics Committee opinion
Programs should create and enforce written policies addressing the designation, retention, and disposal of unclaimed embryos. View the Committee OpinionA review of best practices of rapid-cooling vitrification for oocytes and embryos: a committee opinion (2021)
The focus of this paper is to review best practices for rapid-cooling cryopreservation of oocytes and embryos. View the Committee OpinionEthics in embryo research: a position statement by the ASRM Ethics in Embryo Research Task Force and the ASRM Ethics Committee (2020)
Scientific research using human embryos advances human health and offspring well-being and provides vital insights into the mechanisms for reproduction and disease. Research involving human embryos is ethically acceptable if it is likely to provide significant new knowledge that may benefit human health, well-being of the offspring, or reproduction. View the Committee OpinionGuidance 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 GuidelineBlastocyst 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 OpinionPosthumous retrieval and use of gametes or embryos: an Ethics Committee opinion (2018)
Posthumous gamete (sperm or oocyte) retrieval or use for reproductive purposes is ethically justifiable if written documentation from the deceased authorizing the procedure is available. View the Committee OpinionDisclosure of medical errors involving gametes and embryos: an Ethics Committee opinion (2016)
Medical providers have an ethical duty to disclose clinically significant errors involving gametes and embryos as soon as they are discovered. Clinics also should have written policies in place for reducing and disclosing errors. View the Committee DocumentRecommended 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 RecommendationInformed consent and the use of gametes and embryos for research: a committee opinion (2014)
The ethical conduct of human gamete and embryo research depends upon conscientious application of principles of informed consent. View the Committee OpinionASRM EDGE Tool
Get the EDGE on your fellow Embryologists! As the grading of embryos varies within IVF laboratories and between laboratories, EDGE allows you to compare yourself against embryologists in the US and around the world. Learn more about the EDGE ToolTopic Resources
Oocyte cryopreservation
We code 89337 (cryopreservation of oocytes) for the entire oocyte preservation cycle, including monitoring visits. View the AnswerReimbursement 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 AnswerJournal 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 VideoDoes the number of eggs being frozen matter?
There is currently only one CPT code for the cryopreservation of mature oocytes and embryos. View the AnswerJournal 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 VideoOocyte Preservation Consult
Our center performs oocyte preservation procedures for women looking to preserve their fertility. View the AnswerOocyte Denudation
Is there is a separate code for denudation of oocytes? View the AnswerEmbryo Culture Less Than And More Than Four Days
When coding 89250 culture of oocytes/embryo <4 days, should that code be submitted to the insurance company for each of the days? View the AnswerGamete Thawing/Warming
Can patients be charged for each vial/straw of reproductive gametes or tissues thawed? View the AnswerDonor Screening
Is there a specific CPT code used for Donor Physical Exams or would a practice just bill using the appropriate E&M Code? View the AnswerJournal Club Global: Should everyone freeze oocytes by age 33?
Oocyte cryopreservation is one of the fastest growing areas of reproductive medicine. View the VideoA review of best practices of rapid-cooling vitrification for oocytes and embryos: a committee opinion (2021)
The focus of this paper is to review best practices for rapid-cooling cryopreservation of oocytes and embryos. View the Committee OpinionRepetitive oocyte donation: a committee opinion (2020)
Donors should be advised of the number of cycles/donations that a given oocyte donor may undergo. View the Committee OpinionPosthumous retrieval and use of gametes or embryos: an Ethics Committee opinion (2018)
Posthumous gamete (sperm or oocyte) retrieval or use for reproductive purposes is ethically justifiable if written documentation from the deceased authorizing the procedure is available. View the Committee OpinionTopic Resources
Fertility and Sterility On Air - Unplugged: May 2024
Topics include: counseling on pregnancy complications in PCOS patients, sorting early spermatocytes from testicular biopsies, and more. Listen to the EpisodeSemen 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 AnswerTESE test thaws
We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures. View the AnswerSperm wash/IUI
Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the AnswerPrewashed Sperm
I have a question regarding prewashed sperm and billing for this service. View the AnswerRetrograde Semen Analysis
What CPT code would you suggest for retrograde semen analysis? View the AnswerSemen Analysis and Interpretation
My IVF lab does a full semen analysis with strict morphology. View the AnswerSemen Analysis Code Types
Can you explain the differences between the semen analysis codes? View the AnswerSemen Analysis CPT and CLIA Certification
Listed below are the two coding corner responses that seem to provide conflicting information regarding CPT code 58323. View the AnswerSemen Analysis For Assessment of Fertility
What is the appropriate diagnostic code to use for a semen analysis for the assessment of infertility? View the AnswerSemen Analysis of Pellet
What is the CPT code for a semen pellet analysis? View the AnswerSemen Freezing
We have a couple who are doing an IUI cycle. View the AnswerSemen Leukocyte Assay
What CPT code is applicable for a Semen Leukocyte Analysis or a Reflex Leukocyte Assay?View the Answer