IUI Billing Done Right —
Every Component Captured
IUI may be simpler than IVF, but its billing is frequently undercoded — missing sperm processing, monitoring, or drug administration codes that add up to significant revenue per cycle.
Book a Free Audit →IUI Billing Components
Representative examples only. Code selection depends on documentation and payer-specific rules.
IUI Procedure
Intrauterine insemination — the primary IUI procedure code. 58321 is intra-cervical (ICI), a distinct procedure.
Sperm Washing / Processing
Sperm washing for artificial insemination — a separately billable service frequently missed or bundled incorrectly.
Cycle Monitoring
Transvaginal ultrasound and hormone levels — coverage varies widely by payer and state mandate.
Trigger Injection
Administration code + appropriate drug code for hCG or recombinant LH trigger.
Semen Analysis
Pre-cycle semen analysis — often covered even when IUI is not, depending on payer and diagnosis.
Fertility Mandate Payer Reporting
Bundled S codes used by mandate payers such as Aetna — stimulated IUI cycle case rate (S4035) and ovulation induction management per cycle (S4042).
Diagnosis Code Scenarios
ICD-10 codes are illustrative. Final code selection requires clinical documentation review.
Unexplained infertility → IUI
Male factor → IUI
Ovulatory dysfunction → stimulated IUI
Encounter for artificial insemination
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