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Thread: Coding undiagnosed infertility

  1. #1

    Default Coding undiagnosed infertility

    AAPC: Back to School
    Needing to brainstorm: We have a patient who has been unable to concieve in 8-10 months. To diagnose a patient as infertile it should be over 1 year of trying. Most insurances will not pay for infertility so I need to be careful not to "label" this patient. We are going to send her for a sonohysterogram and need to provide the dx code. I thought possibly V81.6 may be the best (even though it most likely will not be paid)...she has not had any problems, regular periods, no pain, nothing, no symptoms what so ever. Any ideas?

  2. #2
    Join Date
    Apr 2007


    V26.29 would be my suggestion and I think the patient should be prepared to pay for it.

    Laura, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    North Carolina


    Food for thought...our Infertility Specialist submits V26.21

  4. #4


    Thank you both! I do like the V26.29 a little better because we do not want to suggest that she is infertile at this time, and maybe we will be lucky and something will be found on the sonohyst. Thanks again!

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