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2025 CPT code 89253

Assisted embryo hatching using microtechniques (any method).

Refer to the current CPT coding guidelines for reproductive medicine procedures and laboratory services.Proper documentation is essential for accurate coding and reimbursement.

Modifiers may apply depending on the circumstances of the service. Consult CPT guidelines for appropriate modifier use.For example, modifier 90 (Reference (Outside) Laboratory) may be applicable if the procedure is performed by an outside laboratory.

Medical necessity is established based on patient factors such as advanced maternal age, prior IVF failures, and poor embryo quality.The procedure is considered medically necessary when it's determined to improve the likelihood of successful embryo implantation, reducing the need for repeated and costly IVF cycles.

The embryologist performs the technical steps using a microscope and fine instruments. This includes creating a tiny hole in the zona pellucida, removing excess acid, and incubating the embryo before implantation.

IMPORTANT:Code 89398 (unlisted reproductive medicine laboratory procedure) may be used for procedures not specified in codes 89250-89356.

In simple words: This lab procedure helps a fertilized egg implant in the uterus. A tiny hole is made in the outer layer of the egg to make it easier for the egg to attach to the uterine lining. It's sometimes used for women who are older or have had trouble getting pregnant before.

Assisted embryo hatching is a microtechnique procedure performed on a developing embryo (around day 4, 6-8 cells) to increase the likelihood of successful implantation.A tiny hole is created in the zona pellucida (protein layer surrounding the embryo) using a pipette containing acid.Excess acid is removed, and the embryo is incubated before uterine implantation. This procedure is often recommended for women of advanced maternal age (over 38) or those with prior IVF failures.

Example 1: A 42-year-old woman undergoing IVF has multiple embryos of good quality but has experienced failed implantation in previous cycles.Assisted embryo hatching is performed to improve implantation success., A 38-year-old woman with a history of recurrent IVF failure and poor embryo quality undergoes assisted embryo hatching in conjunction with other ART techniques to enhance the chances of a successful pregnancy., A couple has undergone multiple IVF cycles with no success;a thorough review of the patient's medical history shows a pattern of embryos failing to hatch properly.Assisted embryo hatching is recommended as a potential solution.

Detailed patient history, including age, previous IVF attempts, and embryo quality assessments.Complete documentation of the procedure, including the method used for hatching, the number of embryos treated, and post-procedure embryo assessment.

** The specific microtechnique used (e.g., partial zona dissection, laser assisted hatching) should be documented.This code is distinct from procedures involving the use of assisted hatching technologies such as laser assisted hatching.The procedure is typically performed in conjunction with in-vitro fertilization.

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