Re: Define infertility

From: George M. Grunert (grunert@ICSI.Net)
Thu Jul 31 11:42:59 1997


> Have a question regarding the definition of infertility. Pt. insurance
> company refuses to reimburse her for work-up of habitual abortion in
> first trimester. She already has three previous uncomplicated
> pregnancies, so not a primary infertile couple. Is repeated failure to
> carry beyond first trimester considered infertility?? I didn't think
> so, but need documentation, if avialable.

She's not infertile. If your diagnosis is now habitual aborter, her previous successful pregnancies do not change that diagnosis. ICD-9CM code 629.9 codes for "Aborter, habitual, without current pregnancy". This is not in the 628.X infertility series.

Mac

--
George M. Grunert, M.D.
Director ART Program, Woman's Hospital of Texas
7550 Fannin
Houston, TX 77054
713-512-7851
fax 713-512-7853
grunert@icsi.net




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