Surgical — IVF
58970
Oocyte Retrieval (Egg Retrieval)
Follicle puncture for oocyte retrieval, any method. This is the primary code for egg retrieval (oocyte pickup, OPU) in an IVF cycle. It covers aspiration of follicles using transvaginal ultrasound guidance.
Billing Notes
Ultrasound guidance (76948) is separately billable when performed by the same provider. Anesthesia codes are billed separately by the anesthesia provider. Not reported with 58976 on the same day.
Diagnosis Codes
N97.0–N97.9 (female infertility), Z31.61 (encounter for ART), Z31.7 (donor oocyte)
Common Denial Reasons
- Missing or expired prior authorization
- Billed to wrong payer (primary vs. fertility benefit manager)
- Facility vs. professional billing conflict
Payer Notes
Most commercial fertility payers and FBMs require prior authorization. Aetna and BCBS mandate payers use bundled S codes (S4011–S4025) in addition to CPT codes to track cycle utilization.
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