Ob-Gyn Coding Alert

Question: We are a fertility practice, and we're seeing a patient who may have had Clomid treatments or other medication cycles with her ob-gyn prior to coming to us. Our physicians want to evaluate her status by performing a saline sonogram and some other gauging lab work. What diagnosis should I use as the primary if the patient is not in a medical cycle or being monitored for medical cycle? Should I report 628.x? The patient already had treatment from her prior ob-gyn for a fertility issue. Should I instead use V26.21 as the primary (or secondary diagnosis to 628.x)? Illinois Subscriber Answer: If your physician is evaluating the patient to find the cause of her infertility, you are in the testing or counseling phase, and you should use V26.21 (Fertility testing) or V26.49 (Other procreative management counseling and advice). You should report 628.x (Infertility, female) only when the ob-gyn has [...]