COBGC Infertility and Assisted Reproductive Technology (ART) Coding 1 — Questions and Answers
Question 1: Which CPT code is used for follicle puncture for oocyte retrieval (egg retrieval) during an IVF cycle?
- 58322
- 58970 (Correct answer)
- 58974
- 89250
Correct answer: 58970
CPT 58970 describes follicle puncture for oocyte retrieval by any method and is the standard surgical code for egg retrieval in IVF.
Question 2: Which CPT code describes intrauterine embryo transfer following IVF?
- 58976
- 58974 (Correct answer)
- 89255
- 89268
Correct answer: 58974
CPT 58974 is specifically designated for embryo transfer via the intrauterine route following in vitro fertilization.
Question 3: A patient undergoes intracytoplasmic sperm injection (ICSI) with 8 oocytes retrieved. Which CPT code is reported?
- 89280 (Correct answer)
- 89281
- 89268
- 89253
Correct answer: 89280
CPT 89280 covers assisted oocyte fertilization by microtechnique (ICSI) for 10 or fewer oocytes; 89281 is used when more than 10 oocytes are involved.
Question 4: Which CPT code is used for intrauterine insemination (IUI)?
- 58321
- 58322 (Correct answer)
- 58974
- 89268
Correct answer: 58322
CPT 58322 describes artificial insemination via the intrauterine route (IUI), while 58321 is reserved for the intracervical route.
Question 5: Which ICD-10-CM code represents female infertility of tubal origin?
- N97.0
- N97.1 (Correct answer)
- N97.2
- N97.9
Correct answer: N97.1
ICD-10-CM N97.1 specifically classifies female infertility associated with tubal origin, such as blocked or damaged fallopian tubes.
Question 6: A laboratory cultures embryos for 5 days to the blastocyst stage. Which CPT code is most appropriate?
- 89250
- 89251
- 89272 (Correct answer)
- 89255
Correct answer: 89272
CPT 89272 describes extended culture of oocyte(s)/embryo(s) for 4–7 days, which covers blastocyst-stage culture beyond the standard period.
Question 7: Which CPT code is used when thawing cryopreserved embryos prior to a frozen embryo transfer (FET)?
- 89352
- 89353
- 89354 (Correct answer)
- 89356
Correct answer: 89354
CPT 89354 covers thawing of cryopreserved embryo(s) per aliquot, which is reported before performing a frozen embryo transfer.
COBGC Infertility and Assisted Reproductive Technology (ART) Coding 1
Which CPT code is used for follicle puncture for oocyte retrieval (egg retrieval) during an IVF cycle?