Forum - Questions & Answers

Aug 20th, 2010 - Jen1971

Medicaid Coding question..???

Medicaid patient (age 53) wants to have blood drawn to see how fertile she is. Medicaid is asking for cpt code. Can you please help with the coding..... what code would we use to give to Medicaid..???

Aug 20th, 2010 -

Is she kidding?

This is a screening test and a lifestyle issue and not appropriate to be performed with Medicaid/medicare coverage which does not cover infertility. There is no "test" for fertility. If she is amenorrheic and wants to know if she is in menopause then use 626.0 but asking her if her periods stopped would be a heck of a lot easier. And remind her that even 53 yr olds can get STD's and HIV so barrier protection is always a good idea if she is not in a monogamous relationship.



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