ASRM 2024 Abstract Submission is Open!

Menu
Close Close Icon

Correct coding for laboratory procedures during assisted reproductive technology cycles


BACKGROUND

Physicians should code accurately for the services they provide and the diagnoses that justify those services. Current Procedural Terminology (CPT) 2016 is a listing of procedures performed by physicians  and other health care professionals and is maintained by the American Medical Association (AMA). It is generally accepted as the universal reporting system for services performed in the United States as well as many other countries around the world. Each procedure in CPT is reported with a five-digit code that may be further explained by the addition of various two-digit modifiers.

HISTORICAL PERSPECTIVE

In vitro fertilization (IVF) involves a multitude of complex laboratory procedures performed over an interval of 1 to 7 days. These procedures involve both the male and female gametes as well as the subsequent embryos that develop. Current Procedural Terminology initially had only one code to describe the laboratory procedures that took place from the time the oocyte was aspirated from the ovary until the embryo was transferred to the uterus or was cryopreserved. A single code quickly became inadequate to describe the many different components of work involved as the variety and complexity of assisted reproductive technology (ART) expanded. As technology has changed, new CPT codes have been added to describe the work performed in the ART setting. 

This document outlines the proper use of individual and specific codes for each component of the laboratory work involved in an IVF cycle. Bundling of multiple procedures into one or two codes is no longer appropriate, because each of these codes describes distinct and separately identifiable work involved in the laboratory during an IVF cycle.

The laboratory part of the work in an IVF cycle may involve any or all of several procedures currently defined by CPT. In general, procedures involving the oocyte or embryo are coded for the female partner, whereas those directly involving sperm alone are coded for the male partner. Alternatively, all of these procedures may be applied to the female.

The following CPT codes (89250–89398, as well as CPT level III codes 0058T and 0357T) may be applicable in the IVF cycle. Codes are presented in the order they are listed in the CPT book, rather than the sequence in which they are typically performed in an IVF cycle.

INDIVIDUAL ART CODES

89250 Culture of Oocyte(s)/Embryo(s), Less than 4 Days

This code describes only the culture of oocyte(s)/embryo(s) for duration of culture of less than 4 days. It includes the day of insemination but not the procedure involved with the insemination (conventional and/or assisted fertilization [89268, 89280, 89281]). It does not include oocyte identification from follicular fluid (89254) or preparation of embryo for transfer (any method) (89255). It does not include assisted embryo hatching, microtechniques (any method) (89253), cryopreservation; embryo(s) (89258), or oocyte/embryo biopsy (89290, 89291). This code may be reported whether culturing fresh oocyte(s)/embryo(s) or  previously cryopreserved oocyte(s)/embryo(s).

89251 Culture of Oocyte(s)/Embryo(s), Less than 4 Days; with Coculture of Oocyte(s)/Embryo(s)

This code includes all of the work described by culture of oocyte(s)/embryo(s) (89250) with the additional work of coculturing the embryos with feeder cells (granulosa, endometrial, tubal, etc.). This code would also include the work involved in preparing the culture system. This code is reported instead of 89250 when coculture is utilized. It includes the day of insemination but not the procedure involved with the insemination (conventional and/or assisted fertilization [89268, 89280, 89281]). It does not include oocyte identification from follicular fluid (89254) or preparation of embryo for transfer (any method) (89255). It does not include assisted embryo hatching, microtechniques (any method) (89253), cryopreservation; embryo (89258), or oocyte/embryo biopsy (89290, 89291). This code may be reported whether culturing fresh  oocyte(s)/embryo(s) or previously cryopreserved oocyte(s)/embryo(s).

89253 Assisted Embryo Hatching, Microtechniques (Any Method)

This code describes any micromanipulation technique used to assist hatching of the embryo from the zona pellucida. It includes using acid Tyrode's solution, laser, or partial zona dissection (PZD) performed for this purpose. It is distinct from codes for culture of oocyte(s)/embryo(s) (89250), culture of oocyte(s)embryo(s); with coculture of embryos (89251), extended culture (89272), and assisted oocyte fertilization; microtechnique (89280, 89281) and should be reported separately. This does not include preparation of embryo for transfer (any method) (89255).

89254 Oocyte Identification from Follicular Fluid

This code refers to the work of identifying the oocytes contained in the follicular fluid aspirated at the time of the oocyte retrieval. This does not include any of the work involved in follicle puncture for oocyte retrieval, (any method) (58970) or the subsequent work of culture of oocyte(s)/embryo(s) (89250), the coculture of oocyte(s)/embryo(s) (89251), or extended culture (89272). This code is reported only once per ART cycle regardless of the number of oocytes identified.

89255 Preparation of Embryo for Transfer (Any Method)

This code includes the following work: removing the embryo(s) from culture, preparing the embryo(s) for transfer, loading the embryo(s) into an appropriate catheter, transporting the embryo(s) to the transfer room for transfer to the patient, and examination of the catheter after transfer to ensure that no embryo(s) are retained. This code does not include the work of culture of oocyte(s)/embryo(s) (89250), or coculture of oocyte(s)/embryo(s) (89251), extended culture (89272), and is not a part of the work involved in embryo transfer, intrauterine (58974), or gamete, zygote, or embryo intrafallopian transfer (any method) (58976). It also does not include thawing of cryopreserved embryo(s) (89352) or assisted embryo hatching (89253). This code would be utilized for preparation of either a fresh or cryopreserved embryo.

89257 SpermIdentification from Aspiration (Other than Seminal Fluid)

This code includes the work involved in identification of sperm from an aspirate, usually from the vas deferens or epididymis. It specifically excludes identification of sperm from seminal fluid; such work is described by other codes, including semen analysis; presence and/or motility of sperm including Huhner test (postcoital) (89300), semen analysis; motility and count (not including Huhner test) (89310), semen analysis; volume, count, motility, and differential (89320), semen analysis; sperm presence and motility of sperm, if performed (89321), or semen analysis; volume, count, motility, and differential using strict morphologic criteria (e.g., Kruger) (89322). This code includes only the work of identifying sperm and does not include the work of assisted oocyte fertilization, microtechnique (any method) (89280, 89281).

89258 Cryopreservation; Embryo(s)

This code includes the work of cryopreservation of the embryo(s), regardless of the stage of embryo development. It does not include thawing of the embryo (89352) or subsequent culture of  oocyte(s)/embryo(s) (89250), or culture of oocyte(s)/embryo(s); with coculture of embryos (89251), extended culture (89272), or any subsequent charge for storage of the embryos (89342). It also does not include subsequent preparation of embryo for transfer (89255). If embryos are cryopreserved on more than one day during the IVF cycle (i.e., pronuclear stage, cleavage stage, and/or blastocyst), it is appropriate to submit this code for each day that additional work is required.

89259 Cryopreservation; Sperm

This code includes the work involved in cryopreservation of sperm. It does not include:
  • Semen analysis; presence and/or motility of sperm including Huhner test (postcoital) (89300)
  • Semen analysis; motility and count (89310)
  • Semen analysis; volume, count, motility, and differential (89320), semen analysis; sperm presence and motility of sperm, if performed (89321), or semen analysis; volume, count, motility, and differential using strict morphologic criteria (e.g., Kruger) (89322)
  • Sperm identification from aspiration (other than seminal fluid) (89257)
  • Sperm identification from testis tissue, fresh or cryopreserved (89264)
  • Sperm isolation; simple prep (e.g., sperm wash and swimup) for insemination or diagnosis with semen analysis (89260)
  • Sperm isolation; complex prep (e.g., Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis (89261); or thawing of sperm or testicular tissue (89353, 89354).
It also does not include any subsequent charge for storage (89342) or any equipment or supplies required for long-term storage.

0058T Cryopreservation; Reproductive Tissue, Ovarian

0357T Cryopreservation; Reproductive Tissue, Immature Oocyte(s)

These are both Category III codes. This category of CPT codes allows for the collection of specific data used to assess the clinical efficacy, utilization, and outcomes of the described services. Category III codes are tracking codes used for new and emerging technology. These two procedures are both considered experimental by the ASRM Practice Committee (1, 2). A Category III code may be converted to a Category I code if it becomes evident that the procedure is in widespread use and is no longer deemed experimental. These codes do not include thawing (89354, 89356) or annual storage (89344, 89346).

89260 Sperm Isolation; Simple Prep (e.g., Sperm Wash and Swim-Up) for Insemination or Diagnosis with Semen Analysis

This code includes the work involved in sperm wash and swim-up for either insemination or diagnosis. It includes semen analysis (89300, 89310, 89320, 89321); therefore, semen analysis is not reported separately. This code is used for any simple prep.

89261 Sperm Isolation; Complex Prep (e.g., Percoll Gradient, Albumin Gradient) for Insemination or Diagnosis with Semen Analysis

This code includes the work involved in sperm isolation from a complex prep for either insemination or diagnosis. It also includes semen analysis (89300, 89310, 89320, 89321); therefore, semen analysis is not reported. The density gradients cited are only examples. This code applies to any complex prep.

89264 Sperm Identification from Testis Tissue, Fresh or Cryopreserved

This code includes sperm identification and isolation from fresh or frozen testis tissue. This code is distinct from the code for sperm identification from aspiration (other than seminal fluid) (89257). It does not include work done with sperm after identification and isolation. Assisted oocyte fertilization, microtechnique (89280, 89281) or cryopreservation; sperm (89259) should be coded separately. For biopsy of testis, see biopsy of testis, needle (separate procedure) or biopsy of testis, incisional (separate procedure) (54500, 54505).

89268 Insemination of Oocytes

This code includes the work involved in conventional in vitro insemination of oocytes. It does not include culture of oocyte(s)/embryo(s) (89250, 89251, 89272), sperm isolation (89260, 89261, 89264, 89257); assisted embryo hatching (89253), or thawing of cryopreserved sperm/semen or testicular tissue (89353, 89354). It also is not included in assisted oocyte fertilization (89280, 89281) and both should be reported if both are performed on an infertile couple undergoing ART.

89272 Extended Culture of Oocyte(s)/Embryo(s), 4–7 Days

This code applies to the continuation of oocyte/embryo culture in excess of 3 days and is reported in addition to the culture of oocyte(s)/embryo(s), less than 4 days (89250, 89251). This does not include oocyte identification from follicular fluid (89254), preparation of the embryo for transfer (89255), insemination/assisted oocyte fertilization (89280, 89281, 89268), assisted embryo hatching (89253), cryopreservation of embryo (89258), or biopsy of oocyte/embryo (89290, 89291).

89280 Assisted Oocyte Fertilization, Microtechnique; Less than or Equal to 10 Oocytes; Greater than 10 Oocytes (89281)

This code is restricted to assisted oocyte fertilization such as intracytoplasmic sperm injection (ICSI). It is not included in the code for culture of oocyte(s)/embryo(s) (89250, 89251, 89272) and should be reported in addition to these codes when both procedures are performed. This does not include conventional insemination of oocyte(s) and both may be reported on the same patient if both procedures are performed. These codes do not include the sperm isolation (89260, 89261, 89264, 89257) nor do they include assisted hatching (89253). Either 89280 or 89281 would be reported based on the number of oocytes undergoing assisted fertilization.

89290 Biopsy, Oocyte Polar Body or Embryo Blastomere, Microtechnique (for Preimplantation Genetic Diagnosis); Less than or Equal to 5 Embryos

89291 Greater than 5 Embryos

These two codes include only the work involved in the actual polar body biopsy, trophectoderm biopsy, or blastomere biopsy. This does not include culture of oocyte(s)/embryo(s) (89250, 89251, 89272), oocyte identification from follicular fluid (89254), preparation of the embryo for transfer (89255),  insemination/assisted oocyte fertilization (89268, 89280, 89281), assisted embryo hatching (89253), or cryopreservation of embryo (89258). These two codes also do not include any of the testing that might be done on the cell(s) removed from the oocyte or embryo.

89335 Cryopreservation, Reproductive Tissue, Testicular

This code includes the work involved in cryopreservation of reproductive tissue from the testicle. It does not include:
  • Semen analysis; presence and/or motility of sperm including Huhner test (postcoital) (89300)
  • Semen analysis; motility and count (not including Huhner test) (89310)
  • Semen analysis; volume, count, motility, and differential (89320), semen analysis; sperm presence and motility of sperm, if performed (89321), or semen analysis; volume, count, motility, and differential using strict morphologic criteria (e.g., Kruger) (89322)
  • Sperm identification from aspiration (other than seminal fluid) (89257)
  • Sperm identification from testis tissue, fresh or cryopreserved (89264)
  • Sperm isolation; simple prep (e.g., sperm wash and swimup) for insemination or diagnosis with semen analysis (89260); sperm isolation; complex prep (e.g., Percoll gradient, albumin gradient) for  insemination or diagnosis with semen analysis (89261).
It also does not include any subsequent charge for storage
(89344) or thawing (89354).

89337 Cryopreservation, Mature Oocyte(s)

This code includes the work involved in cryopreservation of mature oocytes. It does not include the annual storage (89346) or thawing (89356). Viable oocytes after thawing may then undergo some of the same procedures as oocytes derived in fresh ART cycles such as culture, fertilization, hatching, embryo biopsy, transfer and/or cryopreservation. The cryopreservation of immature oocytes is still considered experimental by ASRM and would be reported with a Category III code (0357T).

89342 Storage, (Per Year) for Embryo(s)

89343 Storage, (Per Year) for Sperm/Semen

89344 Storage, (Per Year) for Reproductive Tissue, Testicular/Ovarian

89346 Storage, (Per Year) for Oocyte(s)

These codes are for storage of each identified tissue type and provide for the cost of frozen storage for a finite period of time. This standardizes the storage charges to a per-year basis and may be prorated for durations of less than one year. These codes do not include the cryopreservation of the item or thawing of the item. Storage fees specify a duration of time only and are independent of the amount of material stored or the number of times accessed.

89352 Thawing of Cryopreserved; Embryo(s)

89353 Thawing of Cryopreserved; Sperm/Semen, Each Aliquot

89354 Thawing of Cryopreserved; Reproductive Tissue, Testicular/Ovarian

89356 Thawing of Cryopreserved; Oocyte(s), Each Aliquot

These codes are for thawing of each identified item. These codes do not include the cryopreservation of the item or storage. The thawing of sperm/semen and oocyte(s) are per storage unit (e.g., aliquot, straw, or cane). If thawed embryo(s) or oocyte(s) are cultured beyond the date of the thaw, then it would be appropriate to code for culture of oocyte(s)/embryo(s) (89250, 89251, 89272).

SUMMARY

The CPT codes currently available for practitioners utilizing ART procedures have been greatly expanded to more accurately describe the work that is being performed. As changes take place in this rapidly advancing area, the Society will continue to lead the effort to add additional codes to describe the work related to ART.


Acknowledgments: This report was developed by the Coding Committee of the American Society for Reproductive Medicine and as a service to its members and other practicing clinicians. The Coding Committee and the Board of Directors of the American Society for Reproductive Medicine have approved this report.

The following members of the ASRM Coding Committee participated in the development of this document. All Committee members disclosed commercial and financial relationships with manufacturers or distributors of goods or services used to treat patients. Members of the Committee who were found to have conflicts of interest based on the relationships disclosed did not participate in the discussion or development of this document.

Beth Rackow, M.D.; Victor Brugh, M.D.; Silvina Bocca, M.D., Ph.D.; Carli Chapman, M.S.; Miguel Damien, M.D.; Bryan Hecht, M.D.; George Hill, M.D.; Andrew La Barbera, Ph.D.; Elizabeth Puscheck, M.D.; John T. Queenan, M.D.; Richard Reindollar, M.D.; Steven Spandorfer, M.D.

REFERENCES

  1. Practice Committees of the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology. In vitro maturation: a committee opinion. Fertil Steril 2013;99:663–6.
  2. Practice Committee of American Society for Reproductive Medicine. Ovarian tissue cryopreservation: a committee opinion. Fertil Steril 2014;101:1237–43.

Coding Q&A

View more Coding in this category
Coding Documents teaser

Mental Health Coding for Donor Recipients

Appropriate coding is an issue of ethical practice and provides the best opportunity for insurance coverage/reimbursement for fertility patients.

Coding Corner


Coding Corner is segmented into the following sections. Click an image below to view questions and answers in that section.


Coding_Andrology_Teaser.png
Coding_ARTClinicalCare_Teaser.png
Coding_ART_Lab_Teaser.png
Coding_Surgery_Teaser.png


Coding_ThirdParty_Teaser.png
Coding Summaries_Teaser.png
Coding_ChairLetters_Teaser.png
Coding Documents_Teaser.png

More Resources

MAC 2021 teaser
ASRM Academy on the Go

ASRM MAC Tool 2021

The ASRM Müllerian Anomaly Classification 2021 (MAC2021) includes cervical and vaginal anomalies and standardize terminology within an interactive tool format.

View the MAC Tool
EMR Phrases teaser
Practice Guidance

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.

View the library
Practice Committee Documents teaser

ASRM Practice Documents

These guidelines have been developed by the ASRM Practice Committee to assist physicians with clinical decisions regarding the care of their patients.

View ASRM Practice Documents
Ethics Committee teaser

ASRM Ethics Opinions

Ethics Committee Reports are drafted by the members of the ASRM Ethics Committee on the tough ethical dilemmas of reproductive medicine.

View ASRM Ethics Opinions
Coding Corner general teaser
Practice Guidance

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.

View the Q & A
Covid-19 teaser
Practice Guidance

COVID-19 Resources

A compendium of ASRM resources concerning the Novel Corona virus (SARS-COV-2) and COVID-19.

View the resources
Couple looking at laptop for online patient education materials

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.

View Website

Topic Resources

View more on the topic of assisted reproductive technologies
PR Bulletin Icon

IVF-assisted pregnancies constitute 2.5% of all births in 2022

In 2022, the number of babies born from IVF increased from 89,208 in 2021 to 91,771 in 2022. This means that 2.5% of births in the US are a result of ART.

View the Press Release
Podcast Icon

Fertility and Sterility On Air - Unplugged: March 2024

Topics include: melatonin and implantation (4:38), whole-genome screening of embryos, and bioengineering assisted reproductive technology. Listen to the Episode
Announcement Icon

ASRM reacts to Alabama legislation

We are pleased that the legislation passed into law by the Alabama General Assembly will at least allow our members in the state to care for their patients.

View the Press Release
Announcement Icon

IVF at the SOTU: Fertility care expected to be major focus at State of the Union

Protecting access to IVF care is expected to be a major theme of the State of the Union on Thursday.

View the Press Release
Announcement Icon

ASRM Responds to Proposed Alabama Legislation

We are proud of our Alabama members and their patients, who have been such incredible advocates working to motivate their legislators to protect IVF.

View the Press Release
Announcement Icon

Senate Budget Hearing is Well Timed Following Alabama IVF Ruling

ASRM statement regarding the Senate Budget Committee’s hearing entitled: No Rights to Speak of: The Economic Harms of Restricting Reproductive Freedom.

View the Press Release
Announcement Icon

ASRM Responds to Senate’s Failure to Pass Access to Family Building Act

We are disappointed by the Senate’s failure to meet the moment and pass federal legislation protecting access to in vitro fertilization (IVF).

View the Press Release
Announcement Icon

ASRM Condemns Profoundly Misguided and Dangerous Court Decision in Alabama

In LePage v Mobile Infirmary Clinic, the Alabama Supreme Court made a decision that flies in the face of medical reality and the needs of the citizens.

View the Press Release
Document Icon

Prevention of moderate and severe ovarian hyperstimulation syndrome: a guideline (2023)

Ovarian hyperstimulation syndrome is a serious complication associatedwith assisted reproductive technology. View the guideline
Announcement Icon

ASRM applauds introduction of Access to Family Building Act of 2024

ASRM is thrilled by the introduction of the Access to Family Building Act 

View the Press Release
Coding Icon

Guidance 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 Answer
Coding Icon

Measurements 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 Answer
Coding Icon

Billing 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 Answer
Coding Icon

Billing 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 Answer
Coding Icon

Estradiol Free versus Total

Should patients with fertility issues be billing Estradiol Free (82681) instead of Estradiol Total (82670)? View the Answer
Coding Icon

IVF 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 Answer
Coding Icon

Cycle coordination fees and 99499, S4042

I reviewed cycle coordination fees, but see that there is no specific code for cycle management.  View the Answer
Coding Icon

Supervising 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 Answer
Document Icon

The 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
Videos Icon

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 Video
Document Icon

Informed 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 Opinion
Coding Icon

Unlisted Fertility Treatment CPT Code

Can you please refer me to an unlisted management CPT code for fertility treatment? View the Answer
Coding Icon

Z 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 Answer
Coding Icon

Pregnancy Of Unknown Location

What is the most appropriate ICD-10 code for pregnancy of unknown location (not an ectopic pregnancy)?  View the Answer
Coding Icon

Pregnancy 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 Answer
Coding Icon

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
Coding Icon

IVF Case Rates

What ICD-10 codes apply to case rates? View the Answer
Coding Icon

Limited Monitoring Ultrasound

What is the appropriate code to use for a limited follow-up follicular transvaginal ultrasound? View the Answer
Coding Icon

Limited 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 Answer
Coding Icon

Monitoring 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 Answer
Coding Icon

Monitoring 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 Answer
Coding Icon

Monitoring 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 Answer
Coding Icon

Non-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 Answer
Coding Icon

In Vitro Maturation

Have CPT codes been established for maturation in vitro? View the Answer
Coding Icon

Embryo Storage Fees For Multiple Cycles

We bill embryo storage 89342 for a year's storage.  View the Answer
Coding Icon

Endometrial 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
Coding Icon

Flat Fee For Outside Monitoring

Can our office charge outside monitoring patients a flat fee to be seen?  View the Answer
Coding Icon

Diagnosis Code For Same-Sex Egg Donation

We have a same-sex male couple with insurance coverage for IVF.  View the Answer
Coding Icon

Donor 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 Answer
Coding Icon

Billing at an Outside Clinic for Lab Services

One of my physicians uses an outside facility to perform the retrievals and transfers.  View the Answer
Coding Icon

Board 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 Answer
Coding Icon

Coding 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 Answer
Coding Icon

Assisted 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 Answer
Coding Icon

Mental-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 Summary
Coding Icon

Laboratory 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 Summary
Videos Icon

Journal 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 Video
Document Icon

Comprehensive 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 Opinion
Videos Icon

Journal 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 Video
Videos Icon

Journal 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 Video
Videos Icon

Journal Club Global - Are We Approaching Automation in ART?

Some ART diagnostic devices are already available and offer objective tools of evaluation. View the Video
Document Icon

Guidance 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 Opinion
Document Icon

Role 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
Document Icon

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 Opinion
Videos Icon

Journal Club Global - Recurrent Implantation Failures in ART: Myth or Reality?

Classically, implantation failures in ART were believed to result from alterations in embryo or endometrium quality.
View the Video
Document Icon

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 Opinion
Document Icon

Using family members as gamete donors or gestational carriers (2017)

The use of adult intrafamilial gamete donors and gestational surrogates is generally ethically acceptable when all participants are fully informed. View the Committee Document
Document Icon

Financial ‘‘risk-sharing’’ or refund programs in assisted reproduction: an Ethics Committee opinion (2016)

Financial ‘‘risk-sharing’’ fee structures in assisted reproduction programs charge patients a higher initial fee but provide reduced fees for subsequent cycles and often a partial or complete refund if treatment fails. View the Committee Document
Document Icon

Recommended 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 Recommendation
Document Icon

Best 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 Guideline