Practical Insights for
Fertility Billing Teams
Coding updates, denial patterns, payer rules, and revenue cycle strategies — specific to IVF and reproductive medicine practices.
Latest Articles
What Is Fertility Billing and Why Specialty Expertise Matters
Fertility billing is fundamentally different from general medical billing. Learn why IVF practices need a specialist — and what happens when they don't use one.
IVF CPT Codes: A Complete 2026 Guide for Billing Managers
A comprehensive reference for CPT codes used in IVF billing — oocyte retrieval, embryo transfer, cryopreservation, and more — with payer-specific notes.
FET Billing: Frozen Embryo Transfer Coding and Reimbursement
Everything you need to know about billing for frozen embryo transfer cycles — CPT codes, bundling rules, and how to avoid the most common FET denial reasons.
Why Fertility Practices Lose Revenue on IVF Monitoring Claims
IVF stimulation monitoring visits are among the most frequently underbilled or denied services in fertility billing. Here is what goes wrong and how to fix it.
IUI Billing Checklist: 6 Components Most Practices Miss
Most practices bill the IUI procedure code — but miss up to five other billable services in the same cycle. Here is the complete IUI billing checklist.
Using the Wrong Ultrasound Code: A Common and Costly Mistake in Fertility Billing
76817, 76830, 76831 — three ultrasound codes with very different payer rules. Using the wrong one can void your claim. Here is what each code covers and when to use it.
How Fertility Mandate States Differ: What Billers Need to Know
Not all state fertility insurance mandates are equal — some cover IVF, some only diagnostics, some have lifetime limits. Knowing the difference prevents billing to the wrong benefit.
Using the Wrong Diagnosis Code in IVF: Why It Causes Claim Denials
ICD-10 code selection in IVF billing is not a formality — the wrong diagnosis can trigger automatic denial, prior auth failure, or a medical necessity flag. Here is how to get it right.
Infertility Coverage: Monitoring Only vs. Monitoring and Procedure
Some plans cover monitoring but not the procedure. Others cover both. Billing without knowing the distinction can result in voided claims or unexpected patient balances.
Major Medical vs. Fertility Benefit Managers: How to Avoid Voided Claims
When a patient has both major medical and a fertility benefit manager, billing the wrong plan voids the claim. Here is how to navigate dual-benefit situations.
Prior Authorization in Fertility Billing: Getting It Right the First Time
Prior authorization errors in fertility billing do not just delay payment — they can void the claim entirely. Here is how to build a reliable auth workflow from the first patient contact.
Telehealth in Fertility Practices: Billing the 98xxx CPT Code Series Correctly
The 2025 CPT code book introduced an entirely new 98xxx telehealth E/M series. Here is what each code covers, how it replaces the pandemic-era approach, and what Medicare and commercial payers are actually accepting.
PGT Billing: Who Bills What and How to Avoid Lab Claim Conflicts
PGT billing involves the clinic, the embryology lab, and a third-party genetics lab — all with overlapping CPT codes. Here is how to coordinate billing and avoid duplicate claim conflicts.
FET vs. Fresh Transfer Billing: What's the Same, What's Different
FET and fresh transfer cycles share some billing codes and diverge sharply in others. Understanding the differences prevents authorization mismatches and coding errors.
ICD-10 Coding for PCOS Patients Undergoing ART
PCOS is the most common diagnosis in fertility practices — and one of the most frequently miscoded. Here is how to select and sequence ICD-10 codes correctly for PCOS patients undergoing ART.
Understanding Fertility Benefit Managers: Progyny, Maven, WINFertility, Kindbody
Fertility benefit managers have their own authorization systems, code requirements, and billing portals. Here is what your billing team needs to know about the four major FBMs.
Coming Soon
How to Reduce Claim Denials at Your IVF Practice
The top denial reasons fertility practices face — and the exact pre-submission steps that eliminate them before claims ever reach the payer.
State Insurance Mandates for Fertility Coverage: 2026 Guide
Which states require insurers to cover fertility treatments? Updated 2026 state mandate map, coverage rules, and billing implications for IVF practices.
Prior Authorization for Fertility Treatments: Step-by-Step
A practical walkthrough of the prior authorization process for IVF, IUI, and fertility medications — including common payer-specific requirements.
Understanding A/R Days in Fertility Medical Billing
What are A/R days, what's a healthy target for a fertility practice, and what's driving your number higher than it should be?
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