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S4016
Frozen in vitro fertilization cycle, case rate
HCPCS code
Medical Policies and Guidelines for Frozen in vitro fertilization cycle, case rate
Related policies from health plans
CIGNA
Infertility Services - (0089)
POINT32
Assisted Reproductive Technology Services – New Hampshire Products
POINT32
In Vitro Fertilization (IVF) and Other Fertility Services CT
SUNFLOWER
Assisted Reproductive Technology (PDF)
Similar Codes
ICD10CM codes
Z31.83
- Encounter for assisted reproductive fertility procedure cycle
Z31.84
- Encounter for fertility preservation procedure
Z31.62
- Encounter for fertility preservation counseling
Z31.41
- Encounter for fertility testing
N98.9
- Complication associated with artificial fertilization, unspecified
Z52.81
- Egg (Oocyte) donor
N98.2
- Complications of attempted introduction of fertilized ovum following in vitro fertilization
N98
- Complications associated with artificial fertilization
O09.811
- Supervision of pregnancy resulting from assisted reproductive technology, first trimester
S37.532A
- Laceration of fallopian tube, bilateral, initial encounter
HCPCS codes
S4016
- Frozen in vitro fertilization cycle, case rate
S4021
- In vitro fertilization procedure cancelled after aspiration, case rate
P9012
- Cryoprecipitate, each unit
T2022
- Case management, per month
G9001
- Coordinated care fee, initial rate
H1000
- Prenatal care, at-risk assessment
A4269
- Contraceptive supply, spermicide (e.g., foam, gel), each
S4981
- Insertion of levonorgestrel-releasing intrauterine system
S0610
- Annual gynecological examination, new patient
T1016
- Case management, each 15 minutes
CPT4 codes
89353
- Thawing of cryopreserved; sperm/semen, each aliquot
89259
- Cryopreservation; sperm
58974
- Embryo transfer, intrauterine
89281
- Assisted oocyte fertilization, microtechnique; greater than 10 oocytes
89342
- Storage (per year); embryo(s)
58970
- Follicle puncture for oocyte retrieval, any method
89264
- Sperm identification from testis tissue, fresh or cryopreserved
86927
- Fresh frozen plasma, thawing, each unit
89272
- Extended culture of oocyte(s)/embryo(s), 4-7 days
89352
- Thawing of cryopreserved; embryo(s)