All Coding Corner Questions

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Diagnosis Code For Same-Sex Egg Donation

We have a same-sex male couple with insurance coverage for IVF. They are doing a fresh egg donation and transferring to a gestational carrier. Is there a diagnosis code more appropriate than the Z31.83 to bill under the intended parent?

Donor 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.  Medicare guidelines are being quoted as stating the Z11.3 is not a proper principal diagnosis code.  Do you have any suggestions/feedback on an additional/alternate diagnosis code?  We are having difficulty finding one that is more appropriate. Thanks so much!
138828 Donor C. Trachomatis/N.Gonorrhoeae; 138930  Donor CMV Total w/Reflex to IgM and IgG; 138699 Donor HBcAb Total; 138749 Donor HBsAg w/Reflex to confirmatory neut. Assay; 138907 Donor HCV Ab; 138931 Donor HIV-1/HIV-2 Plus O w/ Reflex to HIV-1 WB; 138780 Donor HTLV-I/II Ab w/Reflex to Immunoblot; 139240 Donor Procleix Ultrio Assay; 139280 Donor Syphillis (T-Pallidum IgG); 139486 Sperm Donor Viromed Panel.

Donor Egg Lot Acquisition

What is the code for egg lot acquisition?  In other words, the donor match fee or egg procurement.  An agency finds her, does physical and mental screening and charges one lump fee.

Donor 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? We know the FDA requires a significant screening but cannot find any details on the code to bill for this if and when insurance is involved.

Donor 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? How do you identify the donor egg retrieval on the recipient’s claim?

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?

Gestational Carrier

I would like to confirm ASRM’s opinion on the best code to use for a gestational carrier cycle.   The code I have located is Z31.89 (Encounter for other procreative management), but I would appreciate a second opinion. 

Psychological Evaluation

In accordance with ASRM practice guidelines, many REs require patients (and their spouses/partners) who are considering using donor gametes to see an infertility counselor first. Assuming the purpose of these consultations is to explore relevant psychosocial issues, rather than to evaluate "suitability" for treatment, how should they be coded by the infertility counselor? 

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