N98.9 — Complication associated with artificial fertilization, unspecified
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- Hysteroscopy is consideredmedically necessaryin the evaluation of infertility for any of the following indications:
- Suspected uterine abnormality as evidenced by abnormal hysterosalpingogram or hysterosonogram (for example, but not limited to endometrial polyp, submucosal myoma, intrauterine synechia (scarring) or uterine anomaly (unicornuate, bicornuate, septate uteri);or
- Proximal tubal occlusion on hysterosalpingogram;or
- Cervical stenosis;or
- Inadequate or non-diagnostic hysterosalpingogram or sonohysterogram.
1 Active Policy
ANTHEM-CG-SURG-34 — CG-SURG-34 Diagnostic Hysteroscopy for Infertility
Related Codes
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