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May 2002 · Vol. 14, No. 5

REIMBURSEMENT ADVISER

Infertility testing

Q

Please clarify which codes we should use to bill for diagnostic testing (imaging tests and laboratory workups) for infertility. We currently use the code category 628.X; is the code V26.1 more appropriate?

A

No, because it denotes a treatment for infertility (artificial insemination), not diagnostic testing. Further, the 628.X codes (infertility, female) should be used only when you have confirmed that the infertility is caused by the woman, not the male partner.

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