How To Use CPT Code 89253

CPT 89253 describes a procedure known as assisted embryo hatching, which involves the use of microtechniques to increase the chances of successful embryo implantation. This article will provide an overview of CPT 89253, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 89253?

CPT 89253 is a code used to describe the assisted embryo hatching procedure. During this procedure, a skilled analyst utilizes microtechniques, such as partial zona dissection, to create a tiny hole in the zona pellucida, a protein layer surrounding the developing embryo. This technique is performed to increase the likelihood of successful embryo implantation in the uterus.

2. Official Description

The official description of CPT code 89253 is: ‘Assisted embryo hatching, microtechniques (any method).’ This code encompasses the technical steps performed by an analyst using a microscope and fine instruments to create a small opening in the zona pellucida of a developing embryo.

3. Procedure

1. The analyst begins the assisted embryo hatching procedure after the embryo has reached the fourth day of development and consists of six to eight cells.
2. Using a pipette containing acid, the analyst carefully creates a tiny hole in the zona pellucida surrounding the embryo.
3. Excess acid is removed, and the embryo is incubated for a few hours before being implanted in the uterus.

4. Qualifying circumstances

An assisted embryo hatching procedure may be recommended for women of advanced maternal age (older than 38) or those who have experienced failed in vitro fertilization cycles. This procedure aims to increase the chances of successful embryo implantation by facilitating the embryo’s escape from the zona pellucida.

5. When to use CPT code 89253

CPT code 89253 should be used when an analyst performs the assisted embryo hatching procedure using microtechniques. It is important to note that this code specifically refers to the technical steps involved in the procedure and does not encompass other aspects of assisted reproductive technology.

6. Documentation requirements

To support a claim for CPT 89253, the documentation should include:

• Confirmation of the patient’s eligibility for the procedure, such as advanced maternal age or failed prior in vitro fertilization cycles
• A detailed description of the microtechniques used during the assisted embryo hatching procedure
• Date and duration of the procedure
• Any additional relevant information or observations made during the procedure

7. Billing guidelines

When billing for CPT 89253, it is important to ensure that the procedure was performed by an analyst using microtechniques. This code should not be reported with other codes unless specifically instructed to do so. It is crucial to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT code 89253 was added to the Current Procedural Terminology system on January 1, 1998. There have been no updates or changes to the code since its addition.

9. Examples

1. An analyst performs assisted embryo hatching using microtechniques to increase the chances of successful implantation for a woman of advanced maternal age.
2. During an assisted embryo hatching procedure, an analyst creates a small opening in the zona pellucida of a developing embryo to enhance the chances of successful implantation for a patient who has experienced failed in vitro fertilization cycles.
3. Using microtechniques, an analyst performs assisted embryo hatching to facilitate embryo implantation for a patient undergoing assisted reproductive technology.
4. An analyst utilizes microtechniques to perform assisted embryo hatching, aiming to improve the chances of successful implantation for a patient with a history of unsuccessful in vitro fertilization attempts.
5. During an assisted embryo hatching procedure, an analyst employs microtechniques to create a small hole in the zona pellucida, increasing the likelihood of successful implantation for a patient undergoing fertility treatment.