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ICD-10 Guide
ICD-10 CodesN98.2

N98.2

Billable

Complications of attempted introduction of fertilized ovum following in vitro fertilization

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N98.2 is a billable code used to indicate a diagnosis of complications of attempted introduction of fertilized ovum following in vitro fertilization.

Key Diagnostic Point:

N98.2 refers to complications arising from the attempted introduction of a fertilized ovum into the uterus after in vitro fertilization (IVF). This procedure is often pursued by women facing infertility issues, including menstrual and menopausal disorders. Complications can include ectopic pregnancies, uterine perforation, and infection, which may arise during or after the embryo transfer process. The risk of these complications can be influenced by factors such as the woman's age, underlying reproductive health conditions, and the number of embryos transferred. Proper management of these complications is crucial, as they can significantly impact the success of the IVF cycle and the overall reproductive health of the patient. Documentation must reflect the specific complications encountered, as well as any interventions performed to address them, to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential complications that can arise post-IVF
  • Need for precise documentation of the specific complication encountered
  • Differentiation from other codes related to infertility and reproductive health
  • Variability in clinical presentation and management of complications

Audit Risk Factors

  • Inadequate documentation of the specific complication
  • Failure to link the complication to the IVF procedure
  • Misclassification of complications as unrelated conditions
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Reproductive Endocrinology and Infertility

Documentation Requirements

Detailed records of IVF procedures, complications, and management strategies.

Common Clinical Scenarios

Patients undergoing IVF who experience complications such as ectopic pregnancy or infection.

Billing Considerations

Ensure that all complications are documented with specific details to support the use of N98.2.

Obstetrics and Gynecology

Documentation Requirements

Comprehensive notes on patient history, IVF attempts, and any complications encountered.

Common Clinical Scenarios

Management of patients post-embryo transfer who present with complications.

Billing Considerations

Documentation should clearly differentiate between normal post-procedure symptoms and complications.

Coding Guidelines

Inclusion Criteria

Use N98.2 When
  • According to ICD
  • 10 guidelines, N98
  • 2 should be used when complications arise specifically from the introduction of a fertilized ovum following IVF
  • It is essential to document the nature of the complication and any interventions performed

Exclusion Criteria

Do NOT use N98.2 When
  • Exclusions include complications not directly related to the IVF procedure

Related ICD-10 Codes

Related CPT Codes

58970CPT Code

Embryo transfer

Clinical Scenario

Used during IVF procedures; complications may arise post-transfer.

Documentation Requirements

Document the procedure details and any complications encountered.

Specialty Considerations

Reproductive endocrinologists should ensure accurate coding of complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications related to IVF, improving the accuracy of claims and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications related to IVF, improving the accuracy of claims and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of complications related to IVF, improving the accuracy of claims and facilitating better patient management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common complications associated with N98.2?

Common complications include ectopic pregnancies, uterine perforation, and infections that may arise during or after the embryo transfer process.