How To Use CPT Code 58976

CPT 58976 describes the procedure of gamete, zygote, or embryo intrafallopian transfer, which involves the direct transfer of these reproductive cells into the fallopian tube using a catheter. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58976?

CPT 58976 is used to describe a specific procedure in which the provider transfers gametes, zygotes, or embryos directly into the fallopian tube using a catheter. This procedure is typically performed to enhance the chances of successful fertilization and implantation in patients undergoing assisted reproductive technologies.

2. Official Description

The official description of CPT code 58976 is: ‘Gamete, zygote, or embryo intrafallopian transfer, any method.’

3. Procedure

1. The patient is positioned in the dorsal lithotomy position, and the provider cleanses the cervix.
2. The provider loads the gametes, zygotes, or embryos into a catheter.
3. Using ultrasound guidance, if necessary, the provider deposits the reproductive cells directly into the fallopian tube.
4. Once the transfer is complete, the provider removes the catheter.

4. Qualifying circumstances

CPT 58976 is performed in patients who are undergoing assisted reproductive technologies and require the direct transfer of gametes, zygotes, or embryos into the fallopian tube. This procedure is typically performed by reproductive specialists and requires the use of a catheter for precise placement of the reproductive cells.

5. When to use CPT code 58976

CPT code 58976 should be used when the provider performs the procedure of gamete, zygote, or embryo intrafallopian transfer using any method. It is important to ensure that the documentation supports the use of this specific code and that the procedure meets the criteria outlined in the official description.

6. Documentation requirements

To support a claim for CPT 58976, the provider must document the following information:

• Details of the patient’s condition and the need for gamete, zygote, or embryo intrafallopian transfer
• Specific method used for the transfer
• Date and time of the procedure
• Any additional procedures or techniques used, such as ultrasound guidance
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 58976, ensure that the procedure meets the criteria outlined in the official description. It is important to follow the specific guidelines provided by the payer and to accurately report the details of the procedure performed. Additionally, consider any additional codes that may be necessary to fully capture the services provided during the assisted reproductive technology process.

8. Historical information

CPT 58976 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A reproductive specialist performing gamete intrafallopian transfer for a patient undergoing in vitro fertilization.
2. A provider using ultrasound guidance to deposit zygotes into the fallopian tube of a patient undergoing assisted reproductive technologies.
3. A reproductive specialist transferring embryos into the fallopian tube using a catheter for a patient with fertility issues.
4. A provider performing gamete intrafallopian transfer for a patient who has previously undergone unsuccessful attempts at conception.
5. A reproductive specialist using a specific method of gamete intrafallopian transfer to enhance the chances of successful fertilization and implantation in a patient.
6. A provider performing embryo intrafallopian transfer for a patient with a history of recurrent pregnancy loss.
7. A reproductive specialist using a catheter to transfer zygotes into the fallopian tube of a patient with tubal factor infertility.
8. A provider performing gamete intrafallopian transfer for a patient who prefers this method over other assisted reproductive technologies.
9. A reproductive specialist using a specific technique for gamete intrafallopian transfer to optimize the chances of successful conception in a patient.
10. A provider performing embryo intrafallopian transfer for a patient who desires a more natural approach to assisted reproduction.