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Coding and Reimbursement Guide
Fertility Assessment
CPT® Code
Description
 
76856
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete
 
58340
Catheterization and introduction of saline or contrast material for saline infusion
sonohysterography (SIS) or hysterosalpingography
Coded together
76831
Saline infusion sonohysterography (SIS)
76376
3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality
 
74740
Hysterosalpingography, radiological supervision and interpretation
(For introduction of saline or contrast for hysterosalpingography, see 58340)

Diagnostic Codes

ICD Code
Description
628
Infertility, female
Includes: primary and secondary sterility
628.9
Of unspecified origin
ICD Code
Description
V26.2
Investigation and testing
V26.21
Fertility testing
Fallopian insufflation

DISCLAIMER:  The information contained in this guide is provided for information purposes only and represents no statement, promise or guarantee by Femasys Inc. concerning levels of reimbursement, the appropriateness of the codes, or that reimbursement will be made. It is the provider's responsibility to determine and submit the appropriate codes and modifiers for any service, supply, or procedure rendered. Consult with your payor organizations with regard to local reimbursement policies and specific coding guide.

Current Procedural Terminology (CPT) is copyright 2013 American Medical Association. All rights reserved. CPT® is a trademark of the AMA. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein.

 


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