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Male infertility Dx for female patient?

  1. #11
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    Quote Originally Posted by huntersmum View Post
    That is the code I would pick....
    Wow - I haven't seen this thread in a LONG time! 628.8 is totally incorrect; I'm not going to re-type all of the reasons, though - please read the previous posts in this thread for the explanation.

  2. #12
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    Columbia, MO
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    I agree with you Brandi, The 628.8 codes represents a problem medically with the female which is not the case here

    Debra A. Mitchell, MSPH, CPC-H

  3. #13
    Default 628.8 is right
    I have been coding infertility for 18 years - in this situation this is the only code to use.

  4. #14
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    Columbia, MO
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    Sorry this is the incorrect code when it is determined that the female is not have a problem with conception, rather the problem is the male sperm production or inert sperm, the definition of category 628:
    Diminished or absent ability of a female to achieve conception.
    Infertility is a term doctors use if a woman hasn't been able to get pregnant after at least one year of trying. If a woman keeps having miscarriages, it is also called infertility. Female infertility can result from physical problems, hormone problems, and lifestyle or environmental factors.most cases of infertility in women result from problems with producing eggs. One problem is premature ovarian failure, in which the ovaries stop functioning before natural menopause. In another, polycystic ovary syndrome (pcos), the ovaries may not release an egg regularly or may not release a healthy egg.

    Debra A. Mitchell, MSPH, CPC-H

  5. Red face female and male infertility
    Quote Originally Posted by ljhr@juno.com View Post
    My provider posed a question regarding diagnosis coding for infertility. Our patient of course is female, and the cause of her infertility has been determined to be the spouse, or "MALE Infertility". The provider wants to code her treatment with "MALE Infertility"

    I have told the provider that using MALE infertility on our female pt's claims doesn't fly because 1) Claim edits knock out a female pt with a male diagnosis as incorrect, and
    2) our specialty doesn't deal with treating males.

    While I understand my provider's irritation (the problem really IS male infertility, and she documents as such) I won't put it on my claim to get denied out. Can anyone else tell me if they've addressed this issue in their practice? Thanks!
    Since it's a procreative management issue, we use Z31.89.

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