Diagnosis code for donation
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Coding Q&A
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Third-party billing for an Embyo Transfer on a Gestational Carrier
The IP’s insurance plan has coverage for embryo transfer. Upon further clarification with the insurance plan, the IP has confirmed
Who to bill for gestational carrier services if intended parents have insurance?
I wanted to inquire about guidelines for billing services to a surrogate’s insurance company if intended parents purchased the insurance coverage.
Mental health assessment for donors and intended parents
Is it appropriate to use 96156 or 96167 for mental health professional (MHP) counseling of gamete/embryo donors and gestational carriers?
Mandated states and egg retrieval
What name should you use to submit for reimbursement for the actual egg donor when there is benefit for the donor egg retrieval?More Resources
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ASRM MAC Tool 2021
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Ethics Committee Reports are drafted by the members of the ASRM Ethics Committee on the tough ethical dilemmas of reproductive medicine.
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Patient Resources
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Topic Resources
Fertility and Sterility On Air - TOC: October 2025
Explore October 2025's top fertility topics—donor egg outcomes, ART protocols, male infertility drugs, SART data, and more from ASRM's F&S On Air podcast. Listen to the EpisodeFertility and Sterility On Air - Roundtable: Egg Sharing
Experts debate the ethics of egg sharing and split cycles, exploring patient autonomy, informed consent, diversity, and equitable fertility care. Listen to the EpisodeHormonal Induction of Endometrial Receptivity for Fresh or Frozen Embryo Transfer
Explore Dr. Paulson's insights on endometrial receptivity and hormonal preparation in IVF, egg donation, and surrogacy, highlighting estrogen and progesterone roles. View the ASRMed Talk VideoGamete and embryo donation guidance (2024)
Explore the latest guidelines for evaluating sperm, oocyte, and embryo donors and recipients. Includes FDA, CDC, and ASRM standards for optimal safety and outcomes.Mental health assessment for donors and intended parents
Is it appropriate to use 96156 or 96167 for mental health professional (MHP) counseling of gamete/embryo donors and gestational carriers? View the AnswerFamily 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 DocumentDiagnosis code for donation
What is the diagnosis code for an embryo donation versus egg donation? View the AnswerMandated states and egg retrieval
What name should you use to submit for reimbursement for the actual egg donor when there is benefit for the donor egg retrieval? View the AnswerReimbursement for 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 AnswerModernizing Clinic Options for Directed Gamete and Embryo Donation
Explore the evolution of gamete insemination laws, ethics, and rights for donor-conceived individuals from 1884 to present-day privacy shifts. View the ASRMed Talk VideoMisconduct in third-party assisted reproductive technology by participants and nonmedical professionals or entities: an Ethics Committee opinion (2023)
In some instances, it is permissible for the physician to disclose information to the affected party or to decline to provide or continue to provide care. View the Committee OpinionReimbursement 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 AnswerBilling egg donor’s retrieval to recipient’s insurance
How you would bill an egg donor’s retrieval to a patient’s insurance? 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 AnswerIVF Case Rates
What ICD-10 codes apply to case rates? View the AnswerDiagnosis Code For Same-Sex Egg Donation
We have a same-sex male couple with insurance coverage for IVF. View the AnswerDonor Egg Infectious Disease Lab Screening
The issue we are experiencing is outside labs billing with Z11.3 are getting denials stating improper ICD-10 for the services billed. View the AnswerDonor Egg Lot Acquisition
What is the code for egg lot acquisition? View the AnswerDonor Eggs-Physical Exam
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 AnswerDonor Egg-Retrieval On Recipient's Claim
Is the donor egg retrieval included on the bill to insurance with the first IVF treatment for the recipient? 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 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 AnswerEgg Culture and Fertilization: Same Gender
A same-sex male couple requested half their donor eggs be fertilized with sperm from male #1 and the other half fertilized from male #2. View the AnswerClaim Form for Donor Egg Retrieval
What bill form is used of IVF donor egg retrieval? View the AnswerCoding For Donor Egg Retrieval For Male Intended Parent
In coding a donor-egg retrieval to bill to insurance under the male intended parent, would it be appropriate to use the Z31.83? View the AnswerFinancial compensation of oocyte donors: an Ethics Committee opinion (2023)
Financial compensation of women donating oocytes for reproductive or research purposes is justified on ethical grounds. View the Committee OpinionEvidence-based outcomes after oocyte cryopreservation for donor oocyte in vitro fertilization and planned oocyte cryopreservation: a guideline (2021)
Guideline reviews success rates and outcomes of oocyte cryopreservation for donor IVF and elective egg freezing by ASRM. 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 OpinionTopic Resources
August: What's New from the Fertility and Sterility Family of Journals
Here’s a peek at this month’s issues from our family of journals! As an ASRM Member, you can access all of our journals. Check out the newest from Fertility and SterilityAssisted reproduction with advancing paternal and maternal age: an Ethics Committee opinion (2025)
Explore ethical considerations in assisted reproduction for older parents, balancing reproductive autonomy with potential offspring well-being. View the Committee OpinionDisclosure of medical errors and untoward events involving gametes and embryos: an Ethics Committee opinion (2024)
Medical providers have an ethical duty to disclose clinically significant errors involving gametes and embryos. View the Committee OpinionGamete and embryo donation guidance (2024)
Explore the latest guidelines for evaluating sperm, oocyte, and embryo donors and recipients. Includes FDA, CDC, and ASRM standards for optimal safety and outcomes.Modernizing Clinic Options for Directed Gamete and Embryo Donation
Explore the evolution of gamete insemination laws, ethics, and rights for donor-conceived individuals from 1884 to present-day privacy shifts. View the ASRMed Talk VideoMisconduct in third-party assisted reproductive technology by participants and nonmedical professionals or entities: an Ethics Committee opinion (2023)
In some instances, it is permissible for the physician to disclose information to the affected party or to decline to provide or continue to provide care. View the Committee OpinionDefining embryo donation: an Ethics Committee opinion (2023)
IVF Case Rates
What ICD-10 codes apply to case rates? 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 AnswerUpdated terminology for gamete and embryo donors: directed (identified) to replace ‘‘known’’ and nonidentified to replace ‘‘anonymous’’: a committee opinion (2022)
ASRM encourages all stakeholders with an interest in gamete and embryo donation to adopt directed (identified). View the Committee OpinionInterests, obligations, and rights in gamete and embryo donation: an Ethics Committee opinion (2019)
This Ethics Committee report outlines the interests, obligations, and rights of all parties involved in gamete and embryo donation. View the Committee OpinionTopic Resources
Gestational Carrier Policy in the United States
Third-party reproduction using a gestational carrier (GC) is a family-buildingoption carried out in accordance with existing legal frameworks. View the Advocacy Resource






