Infertility and Assisted Reproductive Technology (ART) Coding Flashcards
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Read the first 7 Infertility and Assisted Reproductive Technology (ART) Coding flashcards as text
A patient's IVF cycle is canceled prior to oocyte retrieval due to poor ovarian response. How should coding be handled?
Answer: Report only the monitoring and evaluation services actually rendered
When an IVF cycle is canceled before retrieval begins, only the services actually performed (monitoring ultrasounds, labs, E/M visits) are coded; the intended retrieval procedure is not reported.
Which CPT code describes sperm isolation using a complex preparation method such as Percoll gradient?
Answer: 89261
CPT 89261 describes complex sperm isolation preparation such as Percoll gradient or albumin gradient, used when more sophisticated processing is required.
Sperm is retrieved from testicular tissue via TESE for use in IVF. Which CPT code covers sperm identification from this tissue?
Answer: 89264
CPT 89264 is used for sperm identification from testis tissue, whether fresh or cryopreserved, as obtained through TESE or TESA procedures.
ICD-10-CM code N97.0 classifies female infertility associated with which condition?
Answer: Anovulation
N97.0 specifically classifies female infertility associated with anovulation, meaning the failure to release an egg during the menstrual cycle.
Which set of CPT codes represents the core surgical and embryology services of a standard IVF cycle?
Answer: 58970 (retrieval) and 58974 (embryo transfer)
The core IVF surgical services are reported with 58970 for oocyte retrieval and 58974 for intrauterine embryo transfer, supplemented by laboratory codes.
In a donor egg IVF cycle, under which patient's account is oocyte retrieval (CPT 58970) typically billed?
Answer: The egg donor
In a donor egg cycle, CPT 58970 is billed under the egg donor's account because she is the patient who physically undergoes the oocyte retrieval procedure.
An embryo transfer (CPT 58974) is initiated but cannot be completed due to cervical stenosis preventing catheter passage. Which modifier should be appended?
Answer: Modifier 53
Modifier 53 (Discontinued Procedure) is used when a procedure is started but must be terminated due to circumstances such as cervical stenosis preventing completion of the embryo transfer.