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ICD-10 Guide
ICD-10 CodesN98.9

N98.9

Billable

Complication associated with artificial fertilization, unspecified

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

Code Description

ICD-10 N98.9 is a billable code used to indicate a diagnosis of complication associated with artificial fertilization, unspecified.

Key Diagnostic Point:

N98.9 refers to complications that arise from artificial fertilization procedures, which can include in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), and other assisted reproductive technologies (ART). These complications may manifest as menstrual disorders, such as irregular cycles or amenorrhea, and menopausal disorders, including premature ovarian failure. Additionally, female infertility may be exacerbated by complications from these procedures, leading to psychological distress and further reproductive health issues. The unspecified nature of this code indicates that the specific complication is not detailed, which can complicate treatment planning and patient management. Clinicians must be vigilant in monitoring patients undergoing ART for potential complications, which can range from mild to severe, including ovarian hyperstimulation syndrome (OHSS), ectopic pregnancies, and multiple gestations. Accurate coding is essential for appropriate reimbursement and to ensure comprehensive patient care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in complications associated with different ART procedures
  • Need for detailed clinical documentation to specify complications
  • Potential overlap with other reproductive health codes
  • Unspecified nature may lead to ambiguity in coding

Audit Risk Factors

  • Insufficient documentation of complications
  • Inconsistent coding practices among providers
  • Failure to link complications to specific ART procedures
  • Lack of follow-up documentation post-procedure

Specialty Focus

Medical Specialties

Reproductive Endocrinology and Infertility

Documentation Requirements

Detailed records of ART procedures, patient history, and any complications encountered.

Common Clinical Scenarios

Patients experiencing complications post-IVF, such as OHSS or ectopic pregnancies.

Billing Considerations

Ensure clear documentation of the specific ART procedure and any complications to avoid ambiguity.

Obstetrics and Gynecology

Documentation Requirements

Comprehensive documentation of menstrual and menopausal disorders related to ART.

Common Clinical Scenarios

Management of menstrual irregularities following ART procedures.

Billing Considerations

Consider the patient's overall reproductive health and history when coding.

Coding Guidelines

Inclusion Criteria

Use N98.9 When
  • According to ICD
  • 10 coding guidelines, N98
  • 9 should be used when a patient presents with complications from artificial fertilization that are not specified
  • Coders should ensure that documentation supports the use of this code and that it is not used inappropriately when more specific codes are available

Exclusion Criteria

Do NOT use N98.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58970CPT Code

In Vitro Fertilization (IVF)

Clinical Scenario

Used when a patient undergoes IVF and later presents with complications.

Documentation Requirements

Document the IVF procedure, any complications, and follow-up care.

Specialty Considerations

Reproductive endocrinologists should ensure detailed documentation of ART procedures.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of complications associated with artificial fertilization, but N98.9 remains a catch-all for unspecified complications, which can complicate data analysis and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of complications associated with artificial fertilization, but N98.9 remains a catch-all for unspecified complications, which can complicate data analysis and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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

When should I use N98.9?

Use N98.9 when a patient presents with complications from artificial fertilization that are not specified in the medical record. Ensure that documentation supports the use of this code.