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Re: Define infertility From: Dr Eberhard W Lisse (el@linux.lisse.na) Thu Jul 31 16:16:43 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Rainy British Summer" Previous message: Betsy Hyde: "Estrogen supplementation of premenopausal woman" In reply to: George M. Grunert: "Re: Define infertility" Next in thread: Kelly Shanahan: "Re: Define infertility" Mac, George, > > 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. I like the following definition: "Infertility is the inability to achieve preganncy after one year of adequate sexual exposure, or repeated failure to carry a pregnancy to term." (vd Merwe in Clinical Gynaecology: Odendaal, Schaetzing and Kruger.) So she is indeed infertile, but secondary. What does the insurance company's rule book say? Or are they making this up as they go along? ICD 9 is not a suitable document to define such issues in my view. el -- Dr. Eberhard W. Lisse\ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 81 124 6733 (cell) 64 461005(h) 461004(f) Swakopmund, Namibia ;____/ Domain Coordinator for NA-DOM (el108) Vice-Chairman, Board of Trustees, Namibian Internet Development Foundation, an Association not for Gain. NAMIDEF is the Namibian Internet Service Provider. Next message: Malcolm Griffiths: "Rainy British Summer" Previous message: Betsy Hyde: "Estrogen supplementation of premenopausal woman" In reply to: George M. Grunert: "Re: Define infertility" Next in thread: Kelly Shanahan: "Re: Define infertility"

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