How To Use CPT Code 58321

CPT 58321 describes the procedure of artificial insemination, specifically intra-cervical insemination. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58321?

CPT 58321 can be used to describe the procedure of artificial insemination, specifically intra-cervical insemination. It involves the insertion of prepared live sperm into the cervical canal to achieve pregnancy without intercourse.

2. Official Description

The official description of CPT code 58321 is: ‘Artificial insemination; intra-cervical.’

3. Procedure

1. The patient is placed in the dorsal lithotomy position.
2. A speculum is inserted into the vagina to hold the vaginal walls apart.
3. A fine catheter is inserted into the opening of the cervix.
4. A syringe containing live sperm is attached to the catheter.
5. The live sperm is injected into the cervix.
6. The catheter is removed and a cervical cap or sponge is placed over the cervix to hold the semen in.
7. The patient is instructed to remove the cap or sponge after 8 to 16 hours.
8. The speculum is removed.

4. Qualifying circumstances

CPT 58321 is performed on patients who are seeking artificial insemination to achieve pregnancy without intercourse. It is important to note that this code specifically refers to intra-cervical insemination, where the sperm is inserted into the cervical canal. The procedure must be performed by a qualified healthcare provider.

5. When to use CPT code 58321

CPT code 58321 should be used when performing intra-cervical artificial insemination. It should not be used for other methods of artificial insemination, such as intra-uterine or intra-fallopian insemination. It is important to accurately document the specific procedure performed to ensure proper coding.

6. Documentation requirements

To support a claim for CPT 58321, the healthcare provider must document the following information:

• Patient’s indication for artificial insemination
• Procedure performed (intra-cervical insemination)
• Date of the procedure
• Any additional relevant details or complications
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 58321, ensure that the procedure performed is intra-cervical insemination. It is important to accurately document the procedure and any additional details or complications. CPT code 58321 should not be reported with other codes for different methods of artificial insemination. It is important to follow the specific guidelines provided by the payer for proper billing and reimbursement.

8. Historical information

CPT 58321 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition.

9. Examples

1. A couple undergoing intra-cervical artificial insemination to achieve pregnancy.
2. A patient with a male partner who is unable to ejaculate naturally, opting for intra-cervical insemination.
3. A same-sex female couple seeking intra-cervical artificial insemination with donor sperm.
4. A patient with fertility issues undergoing intra-cervical insemination as part of their fertility treatment plan.
5. A single individual choosing intra-cervical artificial insemination to start a family.
6. A patient with a history of cervical abnormalities undergoing intra-cervical insemination as a fertility treatment option.
7. A couple with unexplained infertility undergoing intra-cervical artificial insemination as a first-line treatment.
8. A patient with a known sperm allergy opting for intra-cervical insemination with donor sperm.
9. A patient with a history of endometriosis undergoing intra-cervical insemination to increase their chances of pregnancy.
10. A couple with male factor infertility choosing intra-cervical insemination as a less invasive fertility treatment option before considering other interventions.