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Leave Your Mark! NIAW April 21-27

Leave Your Mark! NIAW April 21-27

Date: April 20, 2024

Author: ASRM


National Infertility Awareness Week Action Round-Up

April 21-27, 2024, is National Infertility Awareness Week (NIAW)!

This year’s theme is “Leave Your Mark.” It’s important that we advocate year-round for a patient’s right to infertility care and a provider’s right to practice, but following the Alabama Supreme Court’s LePage v. Mobile Clinic, Inc. decision, your voice is especially important this week, and we need you to be loud.

The World Health Organization estimates that roughly 1 in 6 people worldwide are affected by infertility. This does not include the many LGBTQ+ couples and those that choose to parent without a partner who may need assisted reproductive medical treatments to start and grow families. Founded in 1982, NIAW is observed annually to show legislators and the public that infertility is an issue that affects many and deserves their undivided attention. So, what can you do?

Post to socials.

Posting online and tagging your reps goes a long way. Post your thoughts on or experience with infertility using the tags #NIAW2024 and #LeaveYourMark. Find your reps’ pages, follow, and tag them whenever you post about NIAW.



Write to your reps.


The quickest way to get your legislator’s ear is to form a relationship with them, and the easiest way to do this is by writing, calling, and tagging. Keep your eyes peeled for our action alerts in your inbox during NIAW. Click the hyperlink at the bottom of each alert to reroute to Voter Voice, where you can easily access and send pre-written messages about infertility bills to your reps, who the site will locate for you. We do the work, your voice is heard. Feel free to add your own flair to the messaging. If you’d like to locate your reps, click here.

Share your story.


Do you or a patient of yours have a story of overcoming infertility? ASRM wants to hear it, feature it, and share it with legislators. Tell us about your experience here: ASRM Invites You to Share Your Story and Become an Advocate.

Attend Virtual Federal Advocacy Day.


In the wake of the Alabama Supreme Court ruling, we’ve seen just how impactful advocacy can be. Join us May 14, 2024, for a free, all-day interactive event designed to help you connect with your legislators and advocate for your interests across the fertility field. Register here.





Participate in the Proclamation Project.

Submit a request to your state legislators that NIAW be recognized as an official awareness week to increase public awareness of infertility across the country. Click here to participate in the Proclamation Project.


Wear orange!

Don your favorite orange outfit for infertility awareness on April 24, 2024. Share photos to socials and be sure to tell your friends!

For additional ways to #LeaveYourMark, visit RESOLVE’s NIAW 2024 toolkit, and to follow us on social media click here!

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As the situation in Alabama following LePage v Mobile Infirmary, Inc. continues to quickly evolve, we want to ensure you stay apprised of ASRM’s efforts. Read about Advocacy in Action
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Ethical considerations for telemedical delivery of fertility care: an Ethics Committee opinion (2024)

Telemedicine has the potential to increase access to and decrease the cost of care. View the Committee Opinion
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ASRM Responds to Proposed Alabama Legislation

We are proud of our Alabama members and their patients, who have been such incredible advocates working to motivate their legislators to protect IVF.

View the Press Release
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Senate Budget Hearing is Well Timed Following Alabama IVF Ruling

ASRM statement regarding the Senate Budget Committee’s hearing entitled: No Rights to Speak of: The Economic Harms of Restricting Reproductive Freedom.

View the Press Release
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ASRM Responds to Senate’s Failure to Pass Access to Family Building Act

We are disappointed by the Senate’s failure to meet the moment and pass federal legislation protecting access to in vitro fertilization (IVF).

View the Press Release
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Alabama Supreme Court Rules Frozen Embryos are “Unborn Children” and admonishes IVF’s “Wild West” treatment

Legally Speaking™ on presenting facts and reflecting on the impact and potential implications of  legal developments in ART. View the Column
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REBROADCAST - ASRM Today: The Inclusive Family History Project with Serena Chen and Lori Metz

In this episode from ASRM 2023 in New Orleans, Dr. Serena Chen and Lori Metz fill us in on the Inclusive Family History Project. Listen to the Episode
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ASRM Condemns Profoundly Misguided and Dangerous Court Decision in Alabama

In LePage v Mobile Infirmary Clinic, the Alabama Supreme Court made a decision that flies in the face of medical reality and the needs of the citizens.

View the Press Release
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ASRM's CPL Announces Selections for the 2024 Cohort of the PRIMED Scholars Advocacy Program

We were inundated with interest in this program from across ASRM’s membership and are excited to welcome the members of this year’s cohort. Read the press release
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Fertility and Sterility On Air - TOC: January 2024

Topics include the association between thick endometrium with pregnancy hypertensive disorders. state insurance mandates and racial inequities in ART. Listen to the Episode
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ASRM applauds introduction of Access to Family Building Act of 2024

ASRM is thrilled by the introduction of the Access to Family Building Act 

View the Press Release
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June 2023 ASRM Policy Briefing

Find out what the Office of Public Affairs has been doing to influence access to care and reproductive medicine legislation. View the video
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Cross-border reproductive care: an Ethics Committee opinion (2022)

Cross-border reproductive care is a growing worldwide phenomenon, raising questions about why assisted reproductive technology patients travel for care. View the Ethics Committee Document
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Reproductive and infertility care in times of public health crises: an Ethics Committee opinion (2022)

Public health crises often require a framework shift in which patient autonomy is balanced with the need to safeguard the health of the community.  View the Committee opinion
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Access to fertility treatment irrespective of marital status, sexual orientation, or gender identity: an Ethics Committee opinion (2021)

Individuals and couples should have access to fertility services irrespective of marital status, sexual orientation, or gender identity. View the Committee Opinion
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What support for IVF looks like

Bipartisan support for IVF, that is responsible for the birth of over 2% of all babies born in the USA each year, will ensure that families continue to grow. View the advocacy resource
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It takes more than one

Why IVF patients often need multiple embryos to have a baby View the advocacy resource
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Oversight of IVF in the US

In the US, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. View the advocacy resource
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Leadership in Access to Care Course

ASRM Academy introduces the Leadership in Access to Care Course – your opportunity to learn how to address the gaps in reproductive and infertility care. Learn more about the Leadership in Access to Care Course
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Access to Care Special Interest Group (ATCSIG)

The Access To Care Special Interest Group's purpose is to foster the growth of knowledge among the ASRM membership and the medical community regarding the unmet needs that exist today in access to reproductive care Learn more about the Special Interest Group
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Advocacy Resources

ASRM has prepared resources to help explain and advocate for reproductive rights and the continuation of in vitro fertilization and other fertility treatments. View the advocacy resources
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Patient Advocacy Grant

The ASRM Patient Advocacy Grants Program awards funds to patient advocacy organizations to support advocacy efforts and educational programs for patients. View more information about the patient advocacy grant

Topic Resources

View more on the topic of advocacy
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Advocacy in Action

Join the ASRM Advocacy in Action 2024 campaign by making a tax-deductible charitable gift before July 31!  Be part of Advocacy in Action
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ASRM Responds to Senate Vote on IVF Bill

ASRM is disappointed that a filibuster prevented the passage of the Right to IVF Act.

View the Press Release
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ASRM Calls for Passage of Family Building Bill

It would increase access to IVF treatments for all Americans, including active-duty service members, veterans, and federal employees.

View the Press Release
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ASRM publishes IVF one-pagers for media use

The documents lay out the clinical IVF process, summarize oversight of IVF in the U.S., and explain how lawmakers can support access to IVF. 

View the Press Release
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2024 Advocacy Activities Report

View the letters, amicus briefs, and sign-ons that ASRM has submitted to protect reproductive care. View the activities
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ASRM Action Alert Challenge


Are you an ASRM member looking to sharpen your advocacy skills? The Office of Public Affairs has an exciting opportunity for you! Join the challenge!
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Advocacy in Action: May 2024

A summary of federal and state legislation, and highlighting advocacy and outreach efforts of our members. Read about Advocacy in Action
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Advocacy in Action: April 2024

A summary of federal and state legislation, and highlighting advocacy and outreach efforts of our members. Read about Advocacy in Action
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Leave Your Mark! NIAW April 21-27

National Infertility Awareness Week Action Round-Up Click here to leave your mark during NIAW2024
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ASRM Today: ASRM Policy Matters: Post-Alabama IVF decision advocacy roundup with Jessie Losch

Jessie Losch, ASRM Government Affairs Manager, updates ASRM Today on the advocacy efforts underway post the Alabama Supreme Court decision. Listen to the Episode
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Aileen Portugal, MD, St. Louis, MO

Meet Aileen Portugal, MD, graduated from the University of California San Diego with a degree in biochemistry and worked as a researcher for several years. Learn more about Aileen Portugal, MD
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Nicole Ulrich, MD, New Orleans, LA

Meet Nicole Ulrich, MD, who attended Tulane University and then trained in Obstetrics/Gynecology at the Ochsner Clinic Foundation. Learn more about Nicole Ulrich, MD
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INTRODUCING THE 2024 PRIMED SCHOLARS COHORT

Meet Rachel Whynott, MD, FACOG, a double board-certified reproductive endocrinology and infertility subspecialist. Learn more about Rachel Whynott, MD
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A Message from the Office of Public Affairs

ASRM is already pushing for legislation in Congress and the states to protect IVF. It requires resources to analyze and advocate for or against these bills. Help ASRM Protect IVF
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ASRM Files Request for Rehearing with Alabama Supreme Court

On Friday, March 1, the appellees in this case filed a request for rehearing with the Alabama Supreme Court. Read about the Amicus Brief
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Update on ASRM's Efforts to Protect IVF

As the situation in Alabama following LePage v Mobile Infirmary, Inc. continues to quickly evolve, we want to ensure you stay apprised of ASRM’s efforts. Read about Advocacy in Action
Advocacy Icon

Advocacy in Action: February 2024

A summary of federal and state legislation, and highlighting advocacy and outreach efforts of our members. Read about Advocacy in Action
PR Bulletin Icon

ASRM's CPL Announces Selections for the 2024 Cohort of the PRIMED Scholars Advocacy Program

We were inundated with interest in this program from across ASRM’s membership and are excited to welcome the members of this year’s cohort. Read the press release
Podcast Icon

ASRM Today: Policy Matters: Policy Roundup

On this episode of Policy Matters the ASRM Government Affairs Office brings us up to date on the past year of policy news and advocacy. Listen to the Episode
Legal Icon

2023 Advocacy Activities Report

View the letters, amicus briefs, and sign-ons that ASRM has submitted to protect reproductive care. View the activities
Advocacy Icon

What support for IVF looks like

Bipartisan support for IVF, that is responsible for the birth of over 2% of all babies born in the USA each year, will ensure that families continue to grow. View the advocacy resource
Advocacy Icon

It takes more than one

Why IVF patients often need multiple embryos to have a baby View the advocacy resource
Advocacy Icon

Oversight of IVF in the US

In the US, medical care is regulated by a complex and comprehensive network of federal and state regulations and professional oversight. View the advocacy resource
Advocacy Icon

Advocacy Resources

ASRM has prepared resources to help explain and advocate for reproductive rights and the continuation of in vitro fertilization and other fertility treatments. View the advocacy resources
Advocacy Icon

Patient Advocacy Grant

The ASRM Patient Advocacy Grants Program awards funds to patient advocacy organizations to support advocacy efforts and educational programs for patients. View more information about the patient advocacy grant

Topic Resources

View more on the topic of infertility
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HyCoSy and CPT 74740

When Office HSG/HyCoSy is performed but no x-ray/fluoroscopic imaging is performed, only ultrasound is done, is it appropriate to bill CPT code 74740? View the Answer
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Survey shows strong support for increased access to fertility treatments

A new public opinion poll reveals strong support for improved access to In Vitro Fertilization (IVF). 

View the Press Release
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Infertility Awareness

In honor of National Infertility Awareness Week (NIAW), we have rounded up some of our resources on infertility. View infertility resources
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Leave Your Mark! NIAW April 21-27

National Infertility Awareness Week Action Round-Up Click here to leave your mark during NIAW2024
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National Infertility Awareness Week 2024: Leave Your Mark

Next week is National Infertility Awareness Week, a federally recognized health observance founded to increase awareness of infertility.

View the Press Release
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Tobacco or marijuana use and infertility: a committee opinion (2023)

In the United States, approximately 21% of adults report some form of tobacco use, although 18% report marijuana use. View Committee Opinion
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Journal Club Global: The future of REI Fellowship training: debating opportunities and threats

This exciting collaboration discusses the controversy and future directions for the field of Reproductive Endocrinology and Infertility medicine. View the Video
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Journal Club Global: Infertility and Subclinical Hypothyroidism

The impact of treating SCH on fertility, obstetric outcomes, and offspring neurocognitive development is debated in the literature. View the Video
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ASRM reacts to Alabama legislation

We are pleased that the legislation passed into law by the Alabama General Assembly will at least allow our members in the state to care for their patients.

View the Press Release
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IVF at the SOTU: Fertility care expected to be major focus at State of the Union

Protecting access to IVF care is expected to be a major theme of the State of the Union on Thursday.

View the Press Release
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Ethical obligations in fertility treatment when intimate partners withhold information from each other: an Ethics Committee opinion (2024)

Clinicians should encourage disclosure between intimate partners but should maintain confidentiality where there is no harm to the partner and/or offspring. View the Committee Opinion
Document Icon

Ethical considerations for telemedical delivery of fertility care: an Ethics Committee opinion (2024)

Telemedicine has the potential to increase access to and decrease the cost of care. View the Committee Opinion
Announcement Icon

ASRM Responds to Proposed Alabama Legislation

We are proud of our Alabama members and their patients, who have been such incredible advocates working to motivate their legislators to protect IVF.

View the Press Release
Announcement Icon

Senate Budget Hearing is Well Timed Following Alabama IVF Ruling

ASRM statement regarding the Senate Budget Committee’s hearing entitled: No Rights to Speak of: The Economic Harms of Restricting Reproductive Freedom.

View the Press Release
Announcement Icon

ASRM Responds to Senate’s Failure to Pass Access to Family Building Act

We are disappointed by the Senate’s failure to meet the moment and pass federal legislation protecting access to in vitro fertilization (IVF).

View the Press Release
News Icon

What's New from the Fertility and Sterility Family of Journals

Here’s a peek at this month’s issues from our family of journals! As an ASRM Member, you can access all of our journals.
Read More about the newest articles
Announcement Icon

ASRM Condemns Profoundly Misguided and Dangerous Court Decision in Alabama

In LePage v Mobile Infirmary Clinic, the Alabama Supreme Court made a decision that flies in the face of medical reality and the needs of the citizens.

View the Press Release
News Icon

NEW from ASRM Academy: Basic Infertility for Healthcare Providers

ASRM is proud to introduce our updated course: Basic Infertility for Healthcare Providers.  Learn more with an overview from Instructional Designer, Harriet Smith, MEd
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What's New from the Fertility and Sterility Family of Journals

Here’s a peek at this month’s issues from our family of journals! As an ASRM Member, you can access all of our journals. Not yet a member? Click here(no link) to learn more. Find More
Announcement Icon

ASRM applauds introduction of Access to Family Building Act of 2024

ASRM is thrilled by the introduction of the Access to Family Building Act 

View the Press Release
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Resource Roundup: Thyroid Health

January is Thyroid Health Awareness Month! View the resource roundup!
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Definition of infertility: a committee opinion (2023)

‘‘Infertility’’ is a disease, condition, or status characterized by several factors. View the Committee Opinion
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Diagnostic evaluation of sexual dysfunction in the male partner in the setting of infertility: a committee opinion (2023)

It is the responsibility of the clinician to assess for erectile dysfunction, ejaculatory dysfunction, or diminished libido in men presenting for infertility. View the Committee Opinion
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Journal Club Global - Actualización en la suplementación con progesterona en fase lútea para transferencias de embriones congelados

Efectividad del rescate de progesterona en mujeres que presentan niveles bajos de progesterona circulante alrededor del día de la transferencia de embriones View the Video
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Endometriosis and infertility: a committee opinion (2012)

Women with endometriosis typically present with pelvic pain, infertility, or an adnexal mass, and may require surgery. View the Committee Opinion
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Testing With No History of Infertility

What diagnosis codes should  providers submit to insurance carriers while trying to evaluate fertility issues? View the Answer
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Self-referred New Patient

A patient self-refers to our physician for an initial new patient consultation instead of referred by another physician, how do we code for the consult? View the Answer
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Surgery Coding

I took the ASRM coding course, and in that course, coding for bilateral neosalpingostomies was coded using only a dx of N70.11 (hydrosalpinx). View the Answer
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Telephone Consult

Does a physician need to speak directly to a patient to code for a telephone consult (99371-99373) or can a staff member relay physician notes to patients? View the Answer
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Post Vasectomy Infertility

If a husband has had a vasectomy, does the sterilization code apply to the wife's visits? View the Answer
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Pregnancy Of Uncertain Viability Ultrasound

My staff is telling me that I am getting reimbursed for the first sonogram and OB visit (using ICD 10 code for pregnancy of uncertain viability – O36.80X0. View the Answer
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Pregnancy Ultrasound

Our practice does routine ultrasounds (sac check- 76817) at the end of an IVF cycle and bill with a diagnosis code O09.081, pregnancy resulting from ART.  View the Answer
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Psychological Evaluation

Many REs require patients (and their spouses/partners) who are considering using donor gametes to see an infertility counselor first. View the Answer
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Infertility Consult

Does ASRM have any examples of evaluation and management documentation for patients being seen for an initial infertility evaluation? View the Answer
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Infertility Consult by Nurse

What code is used for a nurse practitioner seeing a fertility patient for the first time? View the Answer
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Initial Visit for Infertility With No Mandated Coverage

What code would be appropriate for an initial visit for infertility?  View the Answer
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IUI or IVF

Should other ovarian dysfunction (diagnosis code E28.8) or unspecified ovarian dysfunction (diagnosis code E28.9) can be used for an IUI or an IVF cycle View the Answer
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Monitoring E&M

Our group would like to know if others are billing an evaluation and management code for ultrasound and blood draw visits? View the Answer
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New vs Established Patient

How soon can you bill as a new infertility patient? View the Answer
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General E&M Consult

Recently we have received a “re-code” on a new patient (we billed a 99203 and the insurance re-coded it to a 99213).  View the Answer
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Hysteroscopy Recurrent Implantation Failure

What is the appropriate ICD-10 code for recurrent implantation failure?  View the Answer
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D&C Under Ultrasound Guidance

What are the CPT codes and ICD-10 codes for coding a surgical case for a patient with history of Stage B adenocarcinoma of the cervix ... View the Answer
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Diagnosis of Infertility for IVF Procedure

How important is it to have accurate documentation of the type of infertility diagnosis for IVF procedures?  View the Answer
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Diagnostic Testing of an Infertile Couple

The Z31.41 is or is not the correct code to use for diagnostic testing of an infertile couple? And If so can if be used as the primary and only code? View the Answer
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Blood Draws

If a patient comes in only for a blood draw (venipuncture) and is seen only by the lab technician (not an MD, PA, or NP), may we bill for a (minimal) office visit? View the Answer
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Blood Tests

Patients are requesting to have lab work drawn from the female patient moved to the males account due to the female fertility coverage being maxed out.  View the Answer
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Male Infertility

A summary of common codes for Male Infertility compiled by the ASRM Coding Committee. View the Coding Summary
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ASRM müllerian anomalies classification 2021

The Task Force set goals for a new classification and chose to base it on the iconic AFS classification from 1988 because of its simplicity and recognizability. View the Committee Opinion
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Intracytoplasmic sperm injection (ICSI) for non–male factor indications: a committee opinion (2020)

Intracytoplasmic sperm injection is frequently used in combination with assisted reproductive technologies. View the Committee Document
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Moving innovation to practice: an Ethics Committee opinion (2021)

The introduction of new strategies, tests, and procedures into clinical practice raises challenging ethical issues. View the Committee Opinion
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Fertility evaluation of infertile women: a committee opinion (2021)

Diagnostic evaluation for infertility in women should be conducted in a systematic, expeditious, and cost-effective manner. View the Committee Opinion
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Fertility treatment when the prognosis is very poor or futile: an Ethics Committee opinion (2019)

The Ethics Committee recommends that in vitro fertilization (IVF) centers develop patient-centered policies regarding requests for futile treatment.  View the Committee Opinion
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Use of exogenous gonadotropins for ovulation induction in anovulatory women: a committee opinion (2020)

Pretreatment evaluation, indications, treatment regimens, and complications of gonadotropin treatment. View the Committee Opinion
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Reproductive and hormonal considerations in women at increased risk for hereditary gynecologic cancers: Society of Gynecologic Oncology and American Society for Reproductive Medicine Evidence-Based Review (2019)

Providers who care for women at risk for hereditary gynecologic cancers must consider the impact of these conditions. View the Joint Statement
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Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Updated 2019)

This ASRM guidance specifically addresses Zika virus infection issues and concerns of individuals undergoing assisted reproductive technologies (ART). View the Guideline
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Current recommendations for vaccines for female infertility patients: a committee opinion (2018)

Encounters for infertility care are opportunities to assess and update immunization status. View the Committee Opinion
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American Society for Reproductive Medicine position statement on uterus transplantation: a committee opinion (2018)

Following the birth of the first child from a transplanted uterus in Gothenburg, Sweden, in 2014, other centers worldwide have produced scientific reports. View the Committee Opinion
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Child-rearing ability and the provision of fertility services: an Ethics Committee opinion (2017)

Fertility programs may withhold services on the basis that patients will be unable to provide minimally adequate or safe care for offspring. View the Committee Opinion
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Removal of myomas in asymptomatic patients to improve fertility and/or reduce miscarriage rate: a guideline (2017)

This review evaluates if uterine myomas impact likelihood of pregnancy and pregnancy loss, and if myomectomy influences pregnancy outcomes. View the Guideline
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Subclinical hypothyroidism in the infertile female population: a guideline (2015)

There is controversy regarding whether to treat subtle abnormalities of thyroid dysfunction in the infertile female patient. View the Committee Guideline
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Improving the Reporting of Clinical Trials of Infertility Treatments (IMPRINT): modifying the CONSORT statement (2014)

Clinical trials testing infertility treatments often do not report on the major outcomes of interest to patients and clinicians and the public. View the Guideline