In this month's Fertility and Sterility: Unplugged, we take a look at articles from F&S's sister journals! Topics this month include a review of studies of menstrual fluid (2:18), changing our language regarding progestin protocols (18:35), and nanoscale motion tracing of spermatozoa (26:46).
F&S Reviews: https://www.fertstertreviews.org/article/S2666-5719(24)00032-X/fulltext
Consider This: https://www.fertstert.org/news-do/language-matters-rename-progestin-priming-progestin-protocols-vitro-fertilization-ivf
F&S Science: https://www.fertstertscience.org/article/S2666-335X(24)00037-5/fulltext
View the sister journals at:
Fertility and Sterility On Air
Fertility and Sterility On Air - Unplugged: December 2024
Explore the complexities of chromosomal abnormalities in embryos, their impact on fertility, and counseling strategies for patients in this in-depth podcast discussion.Fertility and Sterility On Air - TOC: October 2024
Explore the latest in reproductive medicine with Fertility and Sterility On Air. Topics include ovarian tissue cryopreservation, DuoStim debates, 1PN embryos, and ART outcomes.Fertility and Sterility On Air - Live from ASRM 2024: Part 1
Explore cutting-edge advancements in reproductive medicine, including ovarian cell engineering, Gameto’s breakthroughs in IVM, and U.S. uterus transplant outcomes.Fertility and Sterility On Air - Live from ASRM 2024: Part 2
Dive into the latest discussions on male fertility testing, U.S. insurance mandates for fertility treatments, and advancements in frozen embryo transfer research.ASRM Podcast Family
ASRM Today
A podcast that takes a deeper dive into current topics in reproductive medicine. And what is in that dive? ASRM Today brings you episodes that explore reproductive medicine through personal interviews and expert discussions, keeping up with the topics that matter.
Fertility and Sterility On Air
The podcast where you can stay current on the latest global research in the field of Reproductive Medicine. This podcast brings you an overview of the monthly F&S journal, in-depth discussion with authors, and other special features.
SART Fertility Experts
An educational project of the Society for Assisted Reproductive Technology, this series is designed to provide up-to-date information about a variety of topics related to fertility testing and treatment such as IVF.
Topic Resources
Fertility and Sterility On Air - TOC: October 2024
Explore the latest in reproductive medicine with Fertility and Sterility On Air. Topics include ovarian tissue cryopreservation, DuoStim debates, 1PN embryos, and ART outcomes. Listen to the EpisodeUse of preimplantation genetic testing for monogenic adult-onset conditions: an Ethics Committee opinion (2024)
Preimplantation genetic testing for adult-onset monogenic diseases is ethically allowed when fully penetrant or conferring disease predisposition. View the Committee OpinionWhen to use code Z31.83
When a patient is completing an approved fertility cycle, is it necessary View the AnswerTimed Intercourse Cycle Codes
Is it appropriate to utilize codes N97.8 or View the AnswerBilling Physician vs Service Physician
What physician’s name must be on the treatment notes and who we are permitted to bill to insurance for: View the AnswerJournal Club Global: Falha de implantação: realidade ou ilusão estatística?
Fertility and Sterility Global Journal Club from Brazil View the VideoFertility and Sterility On Air - TOC: July 2024
Articles this month include: predicting ART complications, laser assisted hatching on vitrified blastocysts, predictive models of miscarriage and more.Listen to the Episode
The use of hormonal contraceptives in fertility treatments: a committee opinion (2024)
Hormonal contraception aids in the timing of ART cycles, reduce ovarian cysts at IVF cycle initiation, and optimize visualization before hysteroscopy. View the Committee OpinionFamily members as gamete donors or gestational carriers: an Ethics Committee opinion (2024)
The use of adult intrafamilial gamete donors and gestational surrogates is ethically acceptable when all participants are fully informed and counseled. View the Committee DocumentSemen 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 AnswerCoding for an endometrial biopsy/Mock cycle
We had patients request us to bill their insurance for the two monitoring visits and the Endo BX and change the diagnosis code to something that is payable. 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 AnswerDiagnosis code for donation
What is the diagnosis code for an embryo donation versus egg donation? View the AnswerFinancial ‘‘risk-sharing’’ or refund programs in assisted reproduction: an Ethics Committee opinion (2023)
Financial ‘‘risk-sharing’’ fee structures in programs charge patients a higher initial fee but provide reduced fees for subsequent cycles. View the Committee DocumentPrevention of moderate and severe ovarian hyperstimulation syndrome: a guideline (2023)
Ovarian hyperstimulation syndrome is a serious complication associated with assisted reproductive technology. View the guidelineGuidance for coding limited or follow-up ultrasounds used during an IVF Cycle
I am a coder for a Reproductive Endocrinologist's office and am looking for some guidelines on limited or follow-up ultrasounds used during an IVF Cycle. View the AnswerMeasurements to report with ultrasound codes
Are there clear guidelines as to what measurements are required in order to bill for each type of ultrasound? 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 AnswerBilling IVF lab work
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 AnswerEstradiol Free versus Total
Should patients with fertility issues be billing Estradiol Free (82681) instead of Estradiol Total (82670)? View the AnswerIVF 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 AnswerCycle coordination fees and 99499, S4042
I reviewed cycle coordination fees, but see that there is no specific code for cycle management. View the AnswerSupervising 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 AnswerThe International Glossary on Infertility and Fertility Care, 2017†‡§ (2017)
Terms and definitions currently used infertility care, infertility and medically assisted reproduction (MAR) can have different meanings that are dependent upon the setting, their usage in research or clinical interventions, or among diverse populations.View the Committee Joint Guideline
Journal Club Global - Revisiting the STAR trial: The Fellows debate PGT-A
We are excited to host a debate covering the pros and cons of PGT-A and how new technologies should be validated before clinical implementation. View the VideoInformed consent in assisted reproduction: an Ethics Committee opinion (2023)
Informed consent is a process in which the patient is supported in developing an understanding of medical options. View the Ethics Committee OpinionUnlisted Fertility Treatment CPT Code
Can you please refer me to an unlisted management CPT code for fertility treatment? View the AnswerZ 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 AnswerPregnancy Of Unknown Location
What is the most appropriate ICD-10 code for pregnancy of unknown location (not an ectopic pregnancy)? View the AnswerPregnancy Ultrasound
Our practice does routine ultrasounds (sac check- 76817) at the end of an IVF cycle and bill with a diagnosis code O09.081, pregnancy resulting from ART. View the AnswerIUI Same Gender
When managing an IUI or IVF cycle for a female same sex couple or a patient that has no exposure to sperm, what ICD 10 diagnosis should be used? View the AnswerIVF Case Rates
What ICD-10 codes apply to case rates? View the AnswerLimited Monitoring Ultrasound
What is the appropriate code to use for a limited follow-up follicular transvaginal ultrasound? View the AnswerLimited Transvaginal Ultrasound
One of our clients received information that a repeat limited transvaginal ultrasound should be billed with a limited pelvic ultrasound code (76857). View the AnswerMonitoring E&M
Our group would like to know if others are billing an evaluation and management code for ultrasound and blood draw visits? View the AnswerMonitoring FET
What is the correct diagnosis code to use on the follicle ultrasound (76857) for a patient who is undergoing frozen embryo transfer (FET)? View the AnswerMonitoring Ovulation Induction By Nurses
We are considering the use of CPT code 99211 for encounters during cycle management as part of ovulation induction. View the AnswerNon-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 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 AnswerEndometrial Receptivity Analysis
Our physicians are going to start doing an Endometrial Receptivity Analysis. Do you know the appropriate CPT code that should be used?View the Answer
Flat Fee For Outside Monitoring
Can our office charge outside monitoring patients a flat fee to be seen? View the AnswerDiagnosis Code For Same-Sex Egg Donation
We have a same-sex male couple with insurance coverage for IVF. View the AnswerDonor Embryos
Could you give guidance for the correct ICD-10 code(s) to use when a patient is doing an Anonymous Donor Embryo Transfer cycle? View the AnswerBilling at an Outside Clinic for Lab Services
One of my physicians uses an outside facility to perform the retrievals and transfers. View the AnswerBoard 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 AnswerCoding For Placement Of A Cervical Stitch
Physicians at our practice are placing a stitch and dilating the cervix after egg retrievals for those patients that have cervical stenosis. View the AnswerAssisted Hatching Billed With Embryo Biopsy
Do you know if both assisted hatching (89253) and embryo biopsy for PGS/PGD/CCS (89290/89291) can be billed during the same cycle? View the AnswerMental-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 SummaryLaboratory 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 SummaryJournal Club Global: Evidence for Immunologic Therapies in Women Undergoing ART
Reproductive immunology is perhaps one of the most controversial and promising fields within ART. View the VideoComprehensive guidance for human embryology, andrology, and endocrinology laboratories: management and operations: a committee opinion (2022)
ASRM has published guidance and minimum standards for embryology and andrology laboratories. View the Committee OpinionJournal Club Global - Best Practices of High Performing ART Clinics
This Fertility and Sterility Journal Club Global discusses February’s seminal article, “Common practices among consistently high-performing in vitro fertilization programs in the United States: a 10 year update.” View the VideoJournal Club Global - Fertilization rate as a novel indicator in ART results
This Journal Club Global discusses a provocative article recently published in Fertility and Sterility, discussing the results of a multicenter retrospective cohort study with the objective to appraise the fertilization rate as a predictive factor for cumulative live birth rate (CLBR). View the VideoJournal Club Global - Are We Approaching Automation in ART?
Some ART diagnostic devices are already available and offer objective tools of evaluation. View the VideoGuidance on the limits to the number of embryos to transfer: a committee opinion (2021)
ASRM's guidelines for the limits on the number of embryos to be transferred during IVF cycles have been further refined ... View the Committee OpinionRole of tubal surgery in the era of assisted reproductive technology: a committee opinion (2021)
This document reviews surgical options for reparative tubal surgery and the factors that must be considered when deciding between surgical repair and IVF.View the Committee Opinion
Minimum standards for practices offering assisted reproductive technologies: a committee opinion (2021)
A framework for assisted reproductive technology (ART) programs that meet or exceed the requirements suggested by the Centers for Disease Control View the Committee OpinionJournal Club Global - Recurrent Implantation Failures in ART: Myth or Reality?
The role of immunotherapy in in vitro fertilization: a guideline (2018)
Adjuvant immunotherapy treatments in in vitro fertilization (IVF) aim to improve the outcome of assisted reproductive technology (ART) in both the general ART population as well as subgroups such as patients with recurrent miscarriage or implantation failure. View the Committee OpinionRecommended 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 RecommendationBest 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
Fertility and Sterility On Air - ANZSREI 2024 Journal Club Global: "Should Unexplained infertility Go Straight to IVF?"
Join "Fertility and Sterility On Air" for insights from the ANXSREI conference on unexplained infertility, IVF, and expert debates. Listen now at ASRM.org. Listen to the EpisodeFertility and Sterility On Air - TOC: July 2024
Articles this month include: predicting ART complications, laser assisted hatching on vitrified blastocysts, predictive models of miscarriage and more.Listen to the Episode
Sperm wash/IUI
Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the AnswerLimited ultrasound performed by RN
Would it be appropriate to bill a 99211 when an RN is doing a limited ultrasound and documenting findings during an IUI or IVF treatment cycle? View the AnswerPrewashed Sperm
I have a question regarding prewashed sperm and billing for this service. 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 AnswerSperm Prep No Male Patient
Is it appropriate to bill sperm washing/prep for IUI to the female or should it be billed to the male? View the AnswerSperm Preparation IUI and IVF
What semen analysis codes apply to sperm preparation for IUI or IVF? View the AnswerSperm Wash
Does the sperm wash code cover the semen analysis and morphology, or can we bill separately under the male for these services? View the AnswerSperm Wash No Male Factor
What would be the best code to use for a sperm wash when it is not a male factor issue? View the AnswerIUI
We are seeing conflicting information about the correct ICD-10 diagnosis code for the CPT 58322, Artificial l Insemination, Intra-uterine. View the AnswerIUI or IVF
Should other ovarian dysfunction (diagnosis code E28.8) or unspecified ovarian dysfunction (diagnosis code E28.9) can be used for an IUI or an IVF cycle View the AnswerIUI Performed By Nurses
In our office, nurses perform the IUI and credit the ordering physician. Are there any legal concerns with malpractice and can we bill an insurance company? View the AnswerIUI Performed By Nurses With E/M
At our center, the intrauterine inseminations are performed by our nurses. View the AnswerIUI Same Gender
When managing an IUI or IVF cycle for a female same sex couple or a patient that has no exposure to sperm, what ICD 10 diagnosis should be used? View the AnswerIUI Sex Preselection
What is the proper ICD-10 code to use for a patient undergoing artificial insemination purely for sex preselection?View the Answer