Hi to the fertility coders out there! I could really use your help!
I have a new guy joining my group and he does a lot of fertility work - which I know the majority is cash pay, but he threw some instances at me and the uncharted territory stumped me.
- Surgical microscope (mainly for TESE/TESA) - does it add enough RVUs (3.46) to be significant enough to bill or is it more useful as a tracking code like S2900?
-Needle biopsy of testes to check for sperm - is it usually payable for azospermia (sp?) or ogliospermia? He's doing it to mainly see if there is sperm to determine of there's a blockage causing the infertility. I know that anything with an infertility diagnosis on it is not usually covered by insurance and would be cash pay, but if there's a case for it where we can bill it, what are those common instances?
Any other tips you have would be super appreciated!
I have a new guy joining my group and he does a lot of fertility work - which I know the majority is cash pay, but he threw some instances at me and the uncharted territory stumped me.
- Surgical microscope (mainly for TESE/TESA) - does it add enough RVUs (3.46) to be significant enough to bill or is it more useful as a tracking code like S2900?
-Needle biopsy of testes to check for sperm - is it usually payable for azospermia (sp?) or ogliospermia? He's doing it to mainly see if there is sperm to determine of there's a blockage causing the infertility. I know that anything with an infertility diagnosis on it is not usually covered by insurance and would be cash pay, but if there's a case for it where we can bill it, what are those common instances?
Any other tips you have would be super appreciated!