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Thread: donor egg/insurance questions

  1. #1
    Join Date
    Jan 2010

    Default donor egg/insurance questions

    does anyone know cpt codes ( i think thye have 5 digits) related to donor egg, donor egg retrieval, donor medical costs

    also does anyone know in genral what insurance plans are likely to cover example-will they cover psychological tests etc.

    I want to see upfront how much my insurance plan will cover. Thanks

  2. #2
    Troy is offline INCIIDer - A Community Creator
    Join Date
    Jun 2006


    What state do you live in? There are very few states that cover anything related to IF generally, and even fewer that cover anything for DE -- and almost none that cover the medical screening of a prospective donor.

    Illinois is the only state I am aware of that covers the retrieval and U/S costs for the donor. Massachusetts might have some coverage.

  3. #3
    Join Date
    Mar 2011

    Default how to code for donor ivf

    There are procedure codes and then you need to add cpt codes for donor.

    You can use procedure code 58970 - retrieval.
    Then add donor code V59.71 (this means annomyous donor, under 35).

    There are codes for over 35 or known donors (google cpt codes for donor ooctye and you'll find them).

    I assume you're trying to find out from your insurance if it's covered, so if they cover the largest cost (retrieval) then you can assume it's all covered.

    Good luck!

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