We performed a postcoital examination on a patient. We have always used 89300 (semen analysis; presence and/or motility of sperm including Huhner test [post coital]), but now an insurance company has denied the claim. Any suggestions?
A
First you need to determine the rationale for the denial. One of the most common reasons for denial of a service is an improper diagnosis code. Inquire if the payer objected to something specific about the code you used. For instance, some insurance companies will accept a diagnosis of infertility testing (V26.29, other investigation or testing; or V26.21, fertility testing) as the reason for the postcoital test, while others require an infertility diagnosis—either female or male.
