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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN98

N98

Non-billable

Complications associated with artificial fertilization

Chapter 14:Diseases of the genitourinary system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 N98 is a used to indicate a diagnosis of complications associated with artificial fertilization.

Key Diagnostic Point:

The ICD-10 Level 1 Category code N98 pertains to complications associated with artificial fertilization, which includes a range of conditions that may arise during or after assisted reproductive technologies (ART) such as in vitro fertilization (IVF). These complications can encompass ovarian hyperstimulation syndrome (OHSS), ectopic pregnancies, and multiple gestations, among others. The clinical significance of this category lies in its ability to capture the adverse effects that may affect both maternal and fetal health, thereby facilitating appropriate management and intervention strategies. Accurate coding of these complications is essential for monitoring outcomes, ensuring patient safety, and improving the quality of care provided to individuals undergoing fertility treatments.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

    Audit Risk Factors

      Specialty Focus

      Medical Specialties

      Urology

      Documentation Requirements

      Detailed documentation of ART procedures performed, complications encountered, and any relevant patient history.

      Common Clinical Scenarios

      Management of complications like ectopic pregnancy post-IVF, assessment of pelvic pain, and monitoring of multiple gestations.

      Billing Considerations

      Ensure accurate coding of complications; differentiate between pre-existing conditions and those arising from ART.

      Obstetrics and Gynecology

      Documentation Requirements

      Complete records of prenatal care, ART protocols followed, and management of complications such as OHSS.

      Common Clinical Scenarios

      Monitoring patients undergoing IVF, managing pregnancies resulting from ART, and addressing complications such as multiple gestations.

      Billing Considerations

      Accurate documentation of gestational age and complications is crucial for coding and management.

      Endocrinology

      Documentation Requirements

      Thorough documentation of hormonal assessments and treatments related to ART, including patient response and complications.

      Common Clinical Scenarios

      Evaluating hormone levels in patients experiencing OHSS or other endocrine-related complications post-ART.

      Billing Considerations

      Consider the impact of hormonal therapies on ART outcomes when coding.

      Related CPT Codes

      58800CPT Code

      Clinical Scenario

      Documentation Requirements

      Indication for surgery, findings during laparoscopy, and post-operative care details.

      58661CPT Code

      Clinical Scenario

      Documentation Requirements

      Histological findings, reason for ablation, and patient's reproductive history.

      88305CPT Code

      Clinical Scenario

      Documentation Requirements

      Detailed pathology report and clinical history related to the tissue specimen.

      89300CPT Code

      Clinical Scenario

      Documentation Requirements

      Patient consent, laboratory findings, and method of sperm preparation.

      ICD-10 Impact

      Diagnostic & Documentation Impact

      Enhanced Specificity

      ICD-10 Improvements

      The clinical and administrative impact of the N98 code category is significant, as it plays a critical role in monitoring the safety and effectiveness of ART procedures. By accurately coding complications, healthcare providers can contribute to quality improvement initiatives, track patient outcomes, and identify areas for further research and intervention. Additionally, understanding the implications of these complications on population health can help inform public health strategies and improve access to safe reproductive healthcare services.

      ICD-9 vs ICD-10

      The clinical and administrative impact of the N98 code category is significant, as it plays a critical role in monitoring the safety and effectiveness of ART procedures. By accurately coding complications, healthcare providers can contribute to quality improvement initiatives, track patient outcomes, and identify areas for further research and intervention. Additionally, understanding the implications of these complications on population health can help inform public health strategies and improve access to safe reproductive healthcare services.

      Reimbursement & Billing Impact

      Reimbursement may vary based on the complexity of the case and the payer's policies, so it is crucial to stay informed about the latest billing guidelines and payer requirements to optimize reimbursement outcomes.

      Resources

      Clinical References

      • •
        ASRM Practice Guidelines
      • •
        CDC Assisted Reproductive Technology Reports
      • •
        ACOG Guidelines on ART
      • •
        Fertility and Sterility Journal

      Coding & Billing References

      • •
        ASRM Practice Guidelines
      • •
        CDC Assisted Reproductive Technology Reports
      • •
        ACOG Guidelines on ART
      • •
        Fertility and Sterility Journal

      Frequently Asked Questions

      What conditions are included in N98?

      N98 includes complications such as ovarian hyperstimulation syndrome (OHSS), ectopic pregnancies resulting from ART, and complications arising from multiple gestations, among others.

      When should I use N98 codes?

      N98 codes should be used when documenting complications that arise during or after artificial fertilization procedures, particularly when these complications impact patient management or outcomes.

      What documentation is required for N98?

      Documentation should include detailed clinical notes describing the nature of the complication, the treatment provided, and any relevant patient history that supports the diagnosis.