IUI Billing

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.

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IUI Billing Components

Representative examples only. Code selection depends on documentation and payer-specific rules.

IUI Procedure

58322

Intrauterine insemination — the primary IUI procedure code. 58321 is intra-cervical (ICI), a distinct procedure.

Sperm Washing / Processing

58323

Sperm washing for artificial insemination — a separately billable service frequently missed or bundled incorrectly.

Cycle Monitoring

76830, 76857, 82670

Transvaginal ultrasound and hormone levels — coverage varies widely by payer and state mandate.

Trigger Injection

96372 + J0725/J1071

Administration code + appropriate drug code for hCG or recombinant LH trigger.

Semen Analysis

89300, 89310, 89320

Pre-cycle semen analysis — often covered even when IUI is not, depending on payer and diagnosis.

Fertility Mandate Payer Reporting

S4035, S4042

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

N97.9 (female infertility, unspecified)

Male factor → IUI

N46.11, N46.121 (oligospermia, azoospermia)

Ovulatory dysfunction → stimulated IUI

N97.0 (female infertility due to anovulation)

Encounter for artificial insemination

Z31.1 (encounter for artificial insemination)

Are your IUI cycles fully billed?

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