Correct Coding for Infertility Diagnosis and Treatment

About the Webinar

Infertility coding is fast-paced and ever-changing. In addition to the fact that the field is on the cutting edge of technology, which creates the need for new codes, there is also the issue of insurance coverage. The coverage of and submission of claims for infertility diagnosis and treatment is one of the least understood and most abused elements in the field of medical coding. However, a clear understanding of infertility coding principles will help physicians and coders maximize proper reimbursement.

At the conclusion of this session, participants should be able to:

  • Describe the appropriate usage of diagnosis codes to properly characterize the patient’s condition, including the new ICD-10-CM codes that specifically report the complications that can result from infertility treatment
  • Develop protocols for distinguishing between “diagnostic” services and “treatment” services
  • Identify recent changes in fertility treatment protocols and their accompanying codes
  • Address the specific ethical issues associated with coding for infertility services
Reproductive Medicine Administrative Consulting, Inc.

Brad Hart is President of Reproductive Medicine Administrative Consulting, Inc. in Gastonia, North Carolina, a national consulting firm focusing on billing, coding, and operations support for OB/GYN and OB/GYN subspecialty practices. He is a faculty member for the American College of Obstetricians and Gynecologists’ Coding Workshops and Webcasts.

He has been a Certified Professional Coder (CPC) with the American Academy of Professional Coders (AAPC) since 1998, and has received special certification in the field of OB/GYN (COBGC), as well as earning the status of Certified Professional Medical Auditor (CPMA). He is also a Certified Medical Practice Executive (CMPE) with the Medical Group Management Association/American College of Medical Practice Executives (MGMA/ACMPE).