How To Use CPT Code 89268

CPT 89268 describes the procedure of insemination of oocytes during an in vitro fertilization (IVF) cycle. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 89268?

CPT 89268 can be used to describe the technical lab steps performed by a lab analyst to inseminate oocytes retrieved from a female patient during an IVF cycle. Insemination involves introducing sperm to the oocytes to fertilize them for conception and pregnancy. The lab analyst places isolated sperm into a culture dish with the oocytes present.

2. Official Description

The official description of CPT code 89268 is: ‘Insemination of oocytes during an in vitro fertilization (IVF) cycle.’

3. Procedure

1. The lab analyst performs the technical lab steps to inseminate oocytes retrieved from a female patient during an IVF cycle.
2. Insemination involves introducing sperm to the oocytes in a culture dish.
3. The analyst ensures that the oocytes and sperm are in a controlled environment conducive to fertilization.
4. The culture dish is monitored to assess fertilization and embryo development.
5. The resulting embryos may be transferred to the uterus for potential implantation and pregnancy.

4. Qualifying circumstances

CPT 89268 is typically performed in a facility specializing in reproductive medicine and infertility treatments. It is ordered by clinicians for patients undergoing an IVF cycle. The procedure involves the insemination of oocytes retrieved from a female patient.

5. When to use CPT code 89268

CPT code 89268 should be used when a lab analyst performs the insemination of oocytes during an IVF cycle. It is appropriate for cases where the oocytes are retrieved from a female patient and the sperm is introduced to fertilize them for conception and pregnancy.

6. Documentation requirements

To support a claim for CPT 89268, documentation should include:

• Confirmation of the patient’s IVF cycle and the need for oocyte insemination
• Details of the lab steps performed by the analyst, including the introduction of sperm to the oocytes
• Date and time of the insemination procedure
• Monitoring and assessment of fertilization and embryo development
• Any additional procedures or interventions performed during the IVF cycle
• Signature of the lab analyst performing the insemination

7. Billing guidelines

When billing for CPT 89268, ensure that the procedure is performed by a lab analyst during an IVF cycle. It is important to follow the specific guidelines and requirements of the payer. Consider any additional services or procedures performed during the IVF cycle that may need separate billing.

8. Historical information

CPT 89268 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates to the code since its addition.

9. Examples

1. A lab analyst performing the insemination of oocytes retrieved from a female patient during an IVF cycle.
2. An embryologist introducing sperm to the oocytes in a culture dish for fertilization during an IVF cycle.
3. A reproductive medicine specialist overseeing the lab steps of oocyte insemination during an IVF cycle.
4. A fertility clinic performing the technical procedures of oocyte insemination for multiple patients undergoing IVF cycles.
5. A lab technician monitoring the culture dish to assess fertilization and embryo development after oocyte insemination during an IVF cycle.
6. An IVF lab coordinator ensuring the proper environment and conditions for oocyte insemination during an IVF cycle.
7. A lab analyst documenting the details of oocyte insemination and fertilization during an IVF cycle.
8. A reproductive endocrinologist reviewing the results of oocyte insemination and embryo development during an IVF cycle.
9. A fertility clinic billing for the insemination of oocytes performed by a lab analyst during an IVF cycle.
10. An embryology lab providing the technical expertise and equipment for oocyte insemination during IVF cycles.