Fertility-Specialized
Medical Coding
Fertility billing spans multiple CPT families — surgical procedures (58xxx), embryology lab (89xxx), genetic testing (81xxx), ultrasound guidance (76xxx), and male factor (54xxx) — plus bundled S codes used by fertility mandate payers. General coders routinely miss the nuances. Ours work exclusively in this space.
Book a Free Audit →ART Procedure Codes We Bill Daily
A sample of the code families we manage — each with the associated modifiers, diagnosis codes, and payer-specific rules built in.
Oocyte pickup, embryo placement, GIFT/ZIFT, and ultrasound guidance
Intra-cervical and intrauterine insemination, sperm washing
Testis biopsy and epididymal sperm aspiration procedures
Oocyte culture, embryo culture, hatching, and identification
Intracytoplasmic sperm injection for up to and over 10 oocytes
Embryo freezing, sperm freezing, and mature oocyte (egg) freezing
Embryo biopsy and chromosomal analysis for PGT-A, PGT-M, PGT-SR
Bundled case-rate codes for complete and partial fresh IVF cycles, ICSI, and donor cycles
Frozen embryo transfer cycles, cancelled transfers, IUI case rates, and cycle monitoring
S codes are used by payers such as Aetna to track ART cycle utilization against plan limits. Code examples are illustrative — correct selection depends on documentation and clinical context.
Coding errors cost more than you think
Under-coding leaves revenue on the table. Over-coding creates audit risk. Our free audit flags both — specific to your practice's CPT usage.
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