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Z31.83
ICD-10-CM
In Vitro Fertilization

Find comprehensive information on In Vitro Fertilization (IVF) diagnosis codes, medical billing, and clinical documentation. Learn about ICD-10 codes related to IVF treatment, including infertility diagnoses, assisted reproductive technology (ART) procedures, embryo transfer, and zygote intrafallopian transfer (ZIFT). This resource provides guidance for healthcare professionals on accurate coding and documentation for IVF, ensuring proper reimbursement and compliance. Explore resources for infertility diagnosis coding, IVF medical billing guidelines, and best practices for clinical documentation in reproductive medicine.

Also known as

IVF
Assisted Reproductive Technology

Diagnosis Snapshot

Key Facts
  • Definition : Assisted reproductive technology where eggs are fertilized by sperm outside the body.
  • Clinical Signs : Infertility, inability to conceive naturally after one year of unprotected intercourse.
  • Common Settings : Fertility clinics, reproductive endocrinology offices, specialized IVF centers.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z31.83 Coding
Z31.1

Encounter for assisted fertilization

Encounters for procedures like IVF.

N97

Female infertility

Infertility issues in females, a common reason for IVF.

N46

Male infertility

Male infertility, another reason for IVF usage.

O09.8

Other complications of pregnancy

May include complications related to IVF pregnancies.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is IVF being performed for infertility?

  • Yes

    Is there a documented cause of infertility?

  • No

    Is IVF for preimplantation genetic testing?

Code Comparison

Related Codes Comparison

When to use each related code

Description
In Vitro Fertilization
Intracytoplasmic Sperm Injection
Gamete Intrafallopian Transfer

Documentation Best Practices

Documentation Checklist
  • ICD-10-PCS code Z31.1, In vitro fertilization
  • Confirmation of infertility diagnosis documented
  • Type of IVF procedure specified (e.g., ICSI, ZIFT)
  • Medication protocol and dosage information
  • Number of embryos transferred/cryopreserved

Coding and Audit Risks

Common Risks
  • Unbundling IVF Services

    Separate coding of procedures typically included in IVF packages (egg retrieval, fertilization, transfer) can lead to overbilling.

  • Miscoded ICSI/AH

    Incorrect coding of intracytoplasmic sperm injection (ICSI) or assisted hatching (AH) as they may be inclusive or require add-on codes.

  • Lack of Dx Clarity for IVF

    Missing or unspecified infertility diagnoses impacting medical necessity reviews and accurate reimbursement for IVF cycles.

Mitigation Tips

Best Practices
  • ICD-10 Z31.8 infertility dx: Validate infertility type, duration, and supporting tests for accurate coding.
  • N61.0 dx: CDI query for complete documentation of ovarian dysfunction specifics per medical necessity guidelines.
  • Z31.1 code: Compliant documentation needs clear embryo transfer details (fresh/frozen) and outcome for proper billing.
  • IVF coding: Specify cause of infertility (male/female/both) to ensure compliance and accurate reimbursement.
  • Infertility ICD-10: Precisely document all assisted reproductive technologies (ART) procedures performed.

Clinical Decision Support

Checklist
  • Confirm infertility diagnosis ICD-10 N97 documented
  • Verify patient age and ovarian reserve assessment
  • Check semen analysis results and documentation S40-S49
  • Review informed consent for IVF procedure Z31.1
  • Confirm prior authorizations for IVF treatment

Reimbursement and Quality Metrics

Impact Summary
  • Reimbursement and Quality Metrics Impact Summary: In Vitro Fertilization (IVF)
  • Keywords: IVF billing, IVF coding, infertility treatment codes, ART billing, assisted reproductive technology coding, medical billing compliance, hospital quality reporting, IVF success rates, ICD-10 codes infertility, reimbursement rates IVF
  • Impact 1: Accurate coding maximizes IVF reimbursement, minimizing claim denials.
  • Impact 2: Proper documentation impacts quality metrics related to IVF success rates and complications.
  • Impact 3: Standardized coding ensures data integrity for hospital reporting and performance analysis.
  • Impact 4: Coding compliance mitigates risk of audits and financial penalties.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code primary infertility diagnosis
  • Document all IVF procedures
  • Include ICD-10 Z31.81
  • Specify fresh/frozen embryo transfer
  • Check payer-specific guidelines

Documentation Templates

Patient presents for in vitro fertilization (IVF) consultation due to infertility.  The patient and partner have been actively trying to conceive for 24 months without success.  Infertility workup including semen analysis, hysterosalpingogram, and ovarian reserve testing has been completed.  Results of the infertility evaluation were reviewed and discussed, indicating the need for assisted reproductive technology (ART).  Diagnosis of infertility, female factor and male factor infertility are considered.  The patient understands the IVF procedure, including ovarian stimulation, egg retrieval, fertilization, embryo culture, and embryo transfer. Risks, benefits, and alternative treatments such as intrauterine insemination (IUI) were discussed.  The patient and partner have elected to proceed with IVF treatment.  A treatment plan including a controlled ovarian hyperstimulation protocol with gonadotropin injections, transvaginal ultrasound monitoring, human chorionic gonadotropin (hCG) trigger, and subsequent oocyte retrieval was outlined.  Pre-cycle laboratory testing, including infectious disease screening, will be ordered.  Medical billing codes for IVF treatment, infertility evaluation, and assisted reproductive technologies will be applied.  Patient education regarding medication administration, potential side effects, and monitoring schedule was provided.  Follow-up appointment scheduled for cycle start.