Surgical — IVF
58974
Embryo Transfer — Fresh
Embryo transfer into the uterus using a fresh (never cryopreserved) embryo from the same stimulation cycle. This code applies when the embryo was cultured from oocytes retrieved in the current cycle and transferred without freezing.
Billing Notes
Do NOT use 58974 for frozen embryo transfers — use 58976 for FET. This is one of the most common IVF coding errors. Payers will deny 58974 when documentation shows a prior cryopreservation date.
Diagnosis Codes
N97.0–N97.9 (infertility by etiology), Z31.61 (ART encounter)
Common Denial Reasons
- Used for frozen embryo transfer (should be 58976)
- Authorization approved for fresh cycle but patient delayed transfer
- Missing documentation of embryo origin date
Payer Notes
S4015 is the S code for fresh IVF cycle with embryo transfer for mandate payers. Confirm authorization covers the cycle start date, not just the retrieval date.
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