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IUI Performed By Nurses With E/M


At our center, the intrauterine inseminations are performed by our nurses. At the time of the insemination our nurse assesses the patient for any symptoms, reviews an instruction sheet that educates the patient about the symptoms of ovarian hyperstimulation, tells the patient when to come in for the pregnancy test, and reviews any additional physician instructions. In addition to the standard charges for the insemination and sperm prep, can we also bill the evaluation management code 99211 with a modifier (-25)?

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Coding Q&A

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Physician Review during billing of Semen Analysis

When billing for a semen analysis, is the physician required
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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.
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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)
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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.

Coding Corner


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Sperm wash/IUI

Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the Answer
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Limited 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 Answer
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Prewashed Sperm

I have a question regarding prewashed sperm and billing for this service. View the Answer
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Semen 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 Answer
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Sperm 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 Answer
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Sperm Preparation IUI and IVF

What semen analysis codes apply to sperm preparation for IUI or IVF? View the Answer
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Sperm 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 Answer
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Sperm 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 Answer
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IUI

We are seeing conflicting information about the correct ICD-10 diagnosis code for the CPT 58322, Artificial l Insemination, Intra-uterine.  View the Answer
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IUI 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 Answer
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IUI 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 Answer
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IUI Performed By Nurses With E/M

At our center, the intrauterine inseminations are performed by our nurses. View the Answer
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IUI 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 Answer
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IUI Sex Preselection

What is the proper ICD-10 code to use for a patient undergoing artificial insemination purely for sex preselection?

View the Answer
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IUI With E/M

Does the code for intrauterine insemination (IUI) (58322) include the office visit (E/M) for that day, or is that only for the actual procedure? View the Answer
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IVF Case Rates

What ICD-10 codes apply to case rates? View the Answer
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Ovulation Induction Monitoring for IUI

We would like to clarify the correct ICD 10 diagnosis code for monitoring of an IUI cycle.  View the Answer
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Follicle Monitoring For Diminished Ovarian Reserve

If a patient has decreased ovarian reserve (ICD-10 E28.8) and patient is undergoing follicle tracking to undergo either an IUI cycle or IVF cycle... View the Answer
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Donor Sperm IUI Single Women

How do I code for therapeutic donor insemination for an unmarried female with no known fertility issues except no partner? View the Answer
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Diagnosis Codes For Intrauterine Insemination (IUI)

I was reviewing your Coding Corner information to find a definitive diagnosis for IUI procedures. Which diagnosis is the most appropriate? View the Answer