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Thread: IVF help needed

  1. #1

    Default IVF help needed

    AAPC: Back to School
    I'm hoping to find someone who would be willing to help me with some in-vitro fertilization coding and billing issues for a new physician to my practice. Is anyone here coding/billing for a fertility specialist?


  2. #2
    Join Date
    Apr 2007

    Wink Cpt Codes for In Vitro Fertilization

    You can find your codes to be as followed

    58970 Follicle puncture for oocyte retrieval and method.

    58974 Embryo transfer, intrauterine

    58976 Gamete, zygote, or embryo intrafallopian transfer, any method

    ( For laparoscopic adnexal procedures, see 58660-58673

    58321 Artificial insemination; intra-cervical

    58322 intra-uterine

    58323 Sper Washing for artificial insemination

    All of this codes should work with you Dr. Your question was not clear what you are looking for

  3. #3


    Hi Deb,
    I didn't elaborate since I wasn't sure anyone had experience with it.

    so we recently billed out the following for a patient:

    I don't have the eob back yet, but we were allowed about 50% of what we billed to the insurance company. Unfortunately our costs are closer to 100% of what we billed out due to fees owed to lab, etc. I am just trying to find out what we've done wrong. Although we took a deposit from the patient, it would appear we must now return that to her because we obviously can't bill her for the difference per our contract with her insurance company. Both the doctor and myself are new to billing for these types of services and are not aware of how other practices handle this.

    Any input?

  4. #4


    Should I be billing out these CPT codes a second time with modifier 26 attached?

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