HyCoSy and CPT 74740
The definition of 74740 is Hysterosalpingography, radiological supervision, and interpretation. Is this code allowed to be billed if an X-ray is not actually performed and only an ultrasound is performed? Am I misinterpreting the definition of what this code defines? How would one properly code HyCoSy?
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Coding Q&A
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Topic Resources
Intro to REI Ultrasound
Leslie King explains the basics of ultrasound in reproductive medicine, covering key techniques, anatomy, and abnormalities for new nurses and clinical staff. View the ASRMed Talk VideoCoding for fluid aspiration during HSG
For physician-performed sonoHSG (58340& 76831) and uterine aspiration due to fluid, can an additional code for the aspiration be billed? View the AnswerQ9967 for HSG
When is it appropriate to bill Q9967 for an HSG? View the AnswerSHG/HSG
If the answer is “if you perform the injection of contrast for an HSG at a radiology facility, you can report 58340: introduction of saline or contrast.” View the AnswerHSG Denied As Bundled Or Incidental
We are using and was recommended by the rep: 58340, 77002, Q9967, 74740, 99213-25 77002 commonly is being denied as bundled or incidental. View the AnswerHSG Using Fertility Testing Code
With the new ICD 10 coding it appears that using a code of "fertility testing" rather than infertility is more likely to be covered for HSG procedures. View the AnswerHysterosalpingo Contrast Sonography
What is the appropriate code for HyCoSy? View the AnswerASRM position statement on qualifications for providing ultrasound procedures in reproductive medicine (2022)
ASRM affirms that completion of fellowship training in reproductive endocrinology and infertility meets the criteria for requisite education. View the Position StatementTopic Resources
Documentation 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 (2023)
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
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We are being told that, as of this year, vitamin D level screening is not being covered by many insurers. View the AnswerSperm Wash No Male Factor
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If a husband has had a vasectomy, does the sterilization code apply to the wife's visits? View the AnswerTesting With No History of Infertility
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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)
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Use 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)
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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 discussionRecommended 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 RecommendationImproving the Reporting of Clinical Trials of Infertility Treatments (IMPRINT): modifying the CONSORT statement (2014)
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Use 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 OpinionFertility Care Gets Important Win in California
ASRM celebrates California's SB 729, expanding IVF coverage for same-sex couples and singles, advancing equitable fertility care access.
View the Press ReleaseBilling 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 AnswerAppropriate Use of Modifier -25
Is Modifier -25 appropriate in the monitoring cycle when an ultrasound 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 OpinionNational Infertility Awareness Week
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June issue Seminal Contribution: a randomized controlled trial studying the use of progestins for ovulation supression in predicted high responders. Listen to the EpisodeASRM announces support for HOPE with Fertility Services Act
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View the Press ReleaseHyCoSy 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 (2023)
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
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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 OpinionEthical 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 OpinionDefinition of infertility: a committee opinion (2023)
‘‘Infertility’’ is a disease, condition, or status characterized by several factors. 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 VideoEndometriosis 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 OpinionThe 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