Post Vasectomy Infertility
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Coding Q&A
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Code 58999 vs Code 58340
For therapeutic infusion, is it more appropriate to use unlisted code 58999 or
Ultrasound Guidance during Embryo Transfers
How do you bill and document for ultrasound guidance during embryo
How to Bill a Hysteroscopy Before Pathology Results are Available
If a provider performs a hysteroscopy and documents visual findings such as endometrial polyps or submucosal fibroids,
Billing Under a Partner
Are there any recommendations from ASRM for billing the 8 series lab codes associatedMore Resources
ASRM Practice Documents
ASRM MAC Tool 2021
The ASRM Müllerian Anomaly Classification 2021 (MAC2021) includes cervical and vaginal anomalies and standardize terminology within an interactive tool format.
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.
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 Ethics Opinions
Ethics Committee Reports are drafted by the members of the ASRM Ethics Committee on the tough ethical dilemmas of reproductive medicine.
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
Half of Infertility Cases Involve Men. Why Does Care Still Treat It as a Women’s Issue?
Since 1989, National Infertility Awareness Week (NIAW) has marked a critical moment each April to elevate public understanding of infertility and push for better care. View the Press ReleaseFertility and Sterility On Air - Roundtable: Influencing Ovarian Aging
Explore ovarian aging in reproductive medicine—experts discuss IVF research, emerging treatments, mTOR pathways, and why “ovarian rejuvenation” remains unproven. Listen to the EpisodeNew Research Links “Forever Chemicals” to Reduced Fertility, Pregnancy Complications
Study finds PFAS “forever chemicals” may harm fertility, raise preeclampsia risk, and increase preterm birth, highlighting urgent reproductive health concerns. View the Press ReleaseMar 2026: Your Guide to Coding for Fertility-Related Ultrasound Procedures
This document reviews correct coding for the ultrasound procedures most commonly performed by physicians providing fertility care. View the blog postNew Research Reveals Significant Fertility Knowledge Gaps Among Gen Z Women
F&S Reports has released a first of its kind study looking at American Gen Z women and their understanding of fertility treatment. View the Press ReleaseJournal Club Global at Turkish Society of Reproductive Medicine Meeting
Fertility & Sterility is proud to once again partner with the Turkish Society of Reproductive Medicine. The panel will discuss the evidence behind an association between endometrial thickness and chance of live birth.
View the VideoJan 2025: New Chaperone CPT Code
Introducing a New CPT Code for Reimbursement of Pelvic Exams Performed in Clinic View the blog postDocumentation for ultrasound coding 76830
Regarding billing code 76830: it “includes imaging of the uterus, endometrium, fallopian tubes, ovaries, and pelvic structures such as the bladder, as indicated. View the AnswerBilling 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 AnswerIs There a Test for Fertility?
This video explains the concept of ovarian reserve and the limitations of fertility tests, emphasizing that ovarian reserve does not equal fertility. View the ASRMed Talk VideoHyCoSy and CPT 74740
When Office HSG/HyCoSy is performed but no x-ray/fluoroscopic imaging is performed, only ultrasound is done, is it appropriate to bill CPT code 74740? View the AnswerTobacco or marijuana use and infertility: a committee opinion (2024)
In the United States, approximately 21% of adults report some form of tobacco use, although 18% report marijuana use. View Committee OpinionExclusion of IVF services due to Z31.83
My wife and I have been seeking IVF treatment and this year coverage was added to my benefits for infertility treatment (up to $25,000). View the AnswerInteractive MAC Tool
Explore the diagnosis of a 15-year-old with right-sided pain using the ASRM Mac Tool to assess uterine anomalies, including uterus didelphys with obstructed hemivagina. View the ASRMed Talk VideoTotal versus Free estradiol
Should patients with fertility issues be billing Estradiol Free (82681) instead of Estradiol Total (82670)? View the AnswerVitamin 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 AnswerPost Vasectomy Infertility
If a husband has had a vasectomy, does the sterilization code apply to the wife's visits? 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 AnswerTransvaginal Cyst Aspiration
If a cyst aspiration is completed in office, what codes could be used for this service in a clinic setting? View the AnswerTesting With No History of Infertility
What diagnosis codes should providers submit to insurance carriers while trying to evaluate fertility issues? 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 AnswerOvulation Induction Monitoring With PCOS
We have a patient insisting that we code the ultrasound follicle monitoring with the PCOS diagnosis. View the AnswerDiagnostic 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 AnswerOptimizing 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 OpinionDiagnosis and treatment of luteal phase deficiency: a committee opinion (2021)
Diagnosis and Treatment of Luteal Phase Deficiency committee opinion (ASRM, 2021): reviews LPD causes, controversy in diagnosis, and current evidence-based guidance. View the Committee OpinionUse of exogenous gonadotropins for ovulation induction in anovulatory women: a committee opinion (2020)
Pretreatment evaluation, indications, treatment regimens, and complications of gonadotropin treatment. 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 GuidelineAmerican Society for Reproductive Medicine position statement on uterus transplantation: a committee opinion (2018)
Following the birth of the first child from a transplanted uterus in Gothenburg, Sweden, in 2014, other centers worldwide have produced scientific reports. View the Committee OpinionRemoval of myomas in asymptomatic patients to improve fertility and/or reduce miscarriage rate: a guideline (2017)
This review evaluates if uterine myomas impact likelihood of pregnancy and pregnancy loss, and if myomectomy influences pregnancy outcomes. View the GuidelineUterus Transplantation Intersociety Roundtable (2016)
A Roundtable to discuss the development of uterus transplantation in the United States was convened under the sponsorship of ASRM and ASRT. View Roundtable discussionImproving 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 GuidelineRecommended 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
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 GuidelineTopic Resources
Fertility and Sterility On Air - Unplugged: April 2026
Explore the latest fertility research on IVF, mental health, embryo transfer, PFAS exposure, and reproductive medicine in Fertility & Sterility Unplugged. Listen to the EpisodeThe International Glossary on Infertility and Fertility Care, 2025
Previous editions of the International Glossary on Infertility and Fertility Care established internationally recognized definitions related to clinical practice, research, and policy. View the Committee OpinionHalf of Infertility Cases Involve Men. Why Does Care Still Treat It as a Women’s Issue?
Since 1989, National Infertility Awareness Week (NIAW) has marked a critical moment each April to elevate public understanding of infertility and push for better care. View the Press ReleaseNational Infertility Awareness Week Highlights Record IVF Births, Growing Demand for Fertility Care
IVF births surpass 100,000 in one year, highlighting demand for fertility care as ASRM urges awareness, reduced stigma, and expanded access nationwide. View the Press ReleaseFertility and Sterility On Air - Unplugged: March 2026
Fertility podcast explores IVF research, PRP risks, and recurrent pregnancy loss, highlighting evidence gaps, patient safety, and emerging reproductive medicine trends. Listen to the EpisodeNational Infertility Awareness Week
April 18-24, 2027, is National Infertility Awareness Week (NIAW)!
View the NIAW ToolkitMar 2026: Is Infertility a Chronic Disease? Why This May Matter for Billing and Coding
This document reviews a recent question regarding whether infertility is considered a chronic disease. View the blog postFertility and Sterility On Air - Roundtable: Should you do ultrasound monitoring for IUI cycles?
This episode of Fertility and Sterility is a roundtable, hosted by Dr. Emily Barnard and Dr. Ben Peipert with a discussion with the authors of "Views and Reviews" and "Fertile Battle" articles published in a recent issue of Fertility and Sterility. Listen to the EpisodeFrom Guidance to Global Impact: How ASRM’s Updated Definition of Infertility Helped Shape Policy in Australia
SRM's updated infertility definition became a catalyst for regulatory action internationally and yielded new hope for growing families on the other side of the world. Read about the impactJournal Club Global: Emulated Trials - A New Research Method With Insights Into Fertility Vitamin Supplements
Explore how emulated trials reveal the impact of vitamin D on fertility, featuring ASRM experts and real-world research insights from the FAST trial. View the VideoThe reproductive endocrinology and infertility subspecialist: definition, training, and scope of practice in the United States (2025)
Learn the 2025 ASRM definition, training, and scope of practice for reproductive endocrinology and infertility subspecialists in the U.S. View the Committee OpinionImproving access to care and delivery to marginalized and vulnerable populations: a committee opinion (2025)
ASRM committee opinion on reducing infertility care disparities, outlining barriers and actionable strategies to improve equitable access. View the opinionKey Abstracts Presented at the ASRM 2025 Scientific Congress & Expo
ASRM 2025 reveals support for IVF access, wildfire smoke's fertility risks, and how insurance mandates improve outcomes in reproductive health care. View the Press ReleaseFertility and Sterility Publishes Editorial Exploring the Origins of “Restorative Reproductive Medicine” and Why Modern Fertility Care Must Remain Comprehensive
Restorative reproductive medicine overlooks IVF, male-factor care, and the need for full-spectrum fertility treatment using modern technologies. View the Press ReleaseASRM PRIMED Cohort Members—Including Physicians, Providers, and Experts—Meet with Congressional Offices to Advocate for IVF Access & Educate About Realities of Restorative Reproductive Medicine
ASRM PRIMED cohort meets Congress to push for IVF access, clarify risks of restorative reproductive medicine, and defend science‑based fertility care. View the Press ReleaseASRM Hosts Capitol Hill Briefing for Policymakers & Congressional Staff to Hear From Providers & Patients About Importance of IVF Access, Realities and Limitations of Restorative Reproductive Medicine
ASRM briefing united lawmakers, physicians & patients on IVF access, exposing RRM limits and urging policies to expand fertility care options. View the Press ReleaseSRS Warns Against Limiting Access to IVF Under the Guise of “Restorative” Care
SRS, an ASRM affiliate, advocates evidence-based reproductive surgery and full-spectrum fertility care for conditions like endometriosis, fibroids, and PCOS. View the Press ReleaseFertility and Sterility Publishes Editorial Piece on How Restorative Reproductive Medicine Violates Reproductive Autonomy and Informed Consent
Editorial in Fertility and Sterility warns that Restorative Reproductive Medicine spreads stigma, delays care, and undermines IVF and patient autonomy. View the Press ReleaseF&S Reports Publishes Editorial Piece on the Unscientific Nature of the Arguments for “Restorative Reproductive Medicine” and Why We Need to Understand Them
F&S Reports editorial critiques “Restorative Reproductive Medicine” as unscientific, faith-driven, and a threat to evidence-based IVF care and reproductive rights. View the Press ReleaseASRM, Leading Medical Organizations Urge National Governors Association to Reject ‘Restorative Reproductive Medicine’ in Open Letter
Medical groups urge governors to reject Restorative Reproductive Medicine laws, defending evidence-based infertility care and IVF access. View the Press ReleaseReproductive Medicine in the Era of Social Media: Pearls and Pitfalls
For couples struggling to conceive, social media has become a lifeline, a source of information, inspiration, and community. View the Latest Tech Talk postASRM Center for Policy and Leadership Releases Fact Sheet on Following the Science & An Evidence-Based, Science-Driven Response to Infertility
ASRM’s fact sheet outlines an evidence-based infertility care pathway, countering misleading RRM claims with science-backed medical best practices. View the Press ReleaseFollow the Science: An Evidence-Based, Science-Driven Response to Infertility
A science-based infertility evaluation and treatment guide, grounded in clinical best practices, counters ideologically driven alternatives like RRM. View the advocacy resourceASRM Ethics Committee Delivers New Opinion on Assisted Reproduction with Advancing Parental Age
ASRM Ethics Committee issues guidance on assisted reproduction and advanced parental age, addressing medical, ethical, and psychological considerations. View the Press ReleaseEmpathy in Action: Strengthening the Patient-Provider Connection
Dr. Tara Harding discusses how healthcare providers can foster empathy, trust, and patient-centered care to improve women's health outcomes. View the ASRMed Talk VideoEvidence-based guideline: Premature Ovarian Insufficiency (2025)
This guideline on premature ovarian insufficiency (POI) offers best practice advice on the care of women with POI. View the Joint Committee DocumentUse 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 OpinionAppropriate Use of Modifier -25
Is Modifier -25 appropriate in the monitoring cycle when an ultrasound View the AnswerBilling for E/M Visits
When billing Evaluation & Management (E/M) visits based on medical decision-making, would we View the AnswerWhen 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 AnswerThe use of preimplantation genetic testing for aneuploidy: a committee opinion (2024)
PGT-A use in the U.S. is rising, but its value as a routine IVF screening test is unclear, with mixed results from various studies. View the Committee OpinionFertility Support and AI: Help or Hinderance
Discover how fertility apps impact patient care and nursing staff. Explore the balance between tech and human touch in complex fertility treatments View the ASRMed Talk VideoHyCoSy and CPT 74740
When Office HSG/HyCoSy is performed but no x-ray/fluoroscopic imaging is performed, only ultrasound is done, is it appropriate to bill CPT code 74740? View the AnswerSubclinical hypothyroidism in the infertile female population: a guideline (2024)
This guideline reviews the risks and benefits of treating subclinical hypothyroidism in female patients with a history of infertility and miscarriage. View the Committee GuidelineTobacco or marijuana use and infertility: a committee opinion (2024)
In the United States, approximately 21% of adults report some form of tobacco use, although 18% report marijuana use. View Committee OpinionJournal Club Global: The future of REI Fellowship training: debating opportunities and threats
This exciting collaboration discusses the controversy and future directions for the field of Reproductive Endocrinology and Infertility medicine. View the VideoJournal Club Global: Infertility and Subclinical Hypothyroidism
The impact of treating SCH on fertility, obstetric outcomes, and offspring neurocognitive development is debated in the literature. View the VideoEthical considerations for telemedical delivery of fertility care: an Ethics Committee opinion (2024)
Telemedicine has the potential to increase access to and decrease the cost of care. View the Committee OpinionEthical obligations in fertility treatment when intimate partners withhold information from each other: an Ethics Committee opinion (2024)
Clinicians should encourage disclosure between intimate partners but should maintain confidentiality where there is no harm to the partner and/or offspring. View the Committee OpinionDefinition of infertility: a committee opinion (2023)
Defines infertility as a disease impacting reproductive function, guiding evaluation and inclusive treatment regardless of age, status, or orientation. View the Committee OpinionDiagnostic 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 OpinionJournal Club Global - Actualización en la suplementación con progesterona en fase lútea para transferencias de embriones congelados
Efectividad del rescate de progesterona en mujeres que presentan niveles bajos de progesterona circulante alrededor del día de la transferencia de embriones View the VideoPregnancy Of Uncertain Viability Ultrasound
My staff is telling me that I am getting reimbursed for the first sonogram and OB visit (using ICD 10 code for pregnancy of uncertain viability – O36.80X0. 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 AnswerPsychological Evaluation
Many REs require patients (and their spouses/partners) who are considering using donor gametes to see an infertility counselor first. View the AnswerSelf-referred New Patient
A patient self-refers to our physician for an initial new patient consultation instead of referred by another physician, how do we code for the consult? View the AnswerSurgery Coding
I took the ASRM coding course, and in that course, coding for bilateral neosalpingostomies was coded using only a dx of N70.11 (hydrosalpinx). View the AnswerTelephone Consult
Does a physician need to speak directly to a patient to code for a telephone consult (99371-99373) or can a staff member relay physician notes to patients? View the AnswerTesting With No History of Infertility
What diagnosis codes should providers submit to insurance carriers while trying to evaluate fertility issues? View the AnswerInfertility Consult
Does ASRM have any examples of evaluation and management documentation for patients being seen for an initial infertility evaluation? View the AnswerInfertility Consult by Nurse
What code is used for a nurse practitioner seeing a fertility patient for the first time? View the AnswerInitial Visit for Infertility With No Mandated Coverage
What code would be appropriate for an initial visit for infertility? 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 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 AnswerNew vs Established Patient
How soon can you bill as a new infertility patient? View the AnswerGeneral E&M Consult
Recently we have received a “re-code” on a new patient (we billed a 99203 and the insurance re-coded it to a 99213). View the AnswerHysteroscopy Recurrent Implantation Failure
What is the appropriate ICD-10 code for recurrent implantation failure? 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 AnswerDiagnosis of Infertility for IVF Procedure
How important is it to have accurate documentation of the type of infertility diagnosis for IVF procedures? View the AnswerDiagnostic 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 AnswerBlood Draws
If a patient comes in only for a blood draw (venipuncture) and is seen only by the lab technician (not an MD, PA, or NP), may we bill for a (minimal) office visit? View the AnswerBlood Tests
Patients are requesting to have lab work drawn from the female patient moved to the males account due to the female fertility coverage being maxed out. View the AnswerMale Infertility
A summary of common codes for Male Infertility compiled by the ASRM Coding Committee. View the Coding SummaryFertility evaluation of infertile women: a committee opinion (2021)
Diagnostic evaluation for infertility in women should be conducted in a systematic, expeditious, and cost-effective manner. View the Committee OpinionASRM müllerian anomalies classification 2021
The Task Force set goals for a new classification and chose to base it on the iconic AFS classification from 1988 because of its simplicity and recognizability. View the Committee OpinionMoving innovation to practice: an Ethics Committee opinion (2021)
The introduction of new strategies, tests, and procedures into clinical practice raises challenging ethical issues. View the Committee OpinionUse of exogenous gonadotropins for ovulation induction in anovulatory women: a committee opinion (2020)
Pretreatment evaluation, indications, treatment regimens, and complications of gonadotropin treatment. View the Committee OpinionReproductive and hormonal considerations in women at increased risk for hereditary gynecologic cancers: Society of Gynecologic Oncology and American Society for Reproductive Medicine Evidence-Based Review (2019)
Providers who care for women at risk for hereditary gynecologic cancers must consider the impact of these conditions. View the Joint StatementGuidance 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 GuidelineFertility treatment when the prognosis is very poor or futile: an Ethics Committee opinion (2019)
The Ethics Committee recommends that in vitro fertilization (IVF) centers develop patient-centered policies regarding requests for futile treatment. View the Committee OpinionAmerican Society for Reproductive Medicine position statement on uterus transplantation: a committee opinion (2018)
Following the birth of the first child from a transplanted uterus in Gothenburg, Sweden, in 2014, other centers worldwide have produced scientific reports. View the Committee OpinionChild-rearing ability and the provision of fertility services: an Ethics Committee opinion (2017)
Fertility programs may withhold services on the basis that patients will be unable to provide minimally adequate or safe care for offspring. View the Committee OpinionRemoval of myomas in asymptomatic patients to improve fertility and/or reduce miscarriage rate: a guideline (2017)
This review evaluates if uterine myomas impact likelihood of pregnancy and pregnancy loss, and if myomectomy influences pregnancy outcomes. View the GuidelineImproving 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 GuidelineEndometriosis and infertility: a committee opinion (2012)
Women with endometriosis typically present with pelvic pain, infertility, or an adnexal mass, and may require surgery. View the Committee OpinionTopic Resources
Jun 3, 2026, 3:00 PM CT - Discovering and Treating Genetic Causes of Male Infertility
Explore genetic causes of male infertility, gene discovery, therapies, and ethical implications in reproductive medicine in this expert led webinar.
Learn more about the webinar






