These services may or may not be covered by all CoOportunity Health plans. Please see your plan documents for your own coverage information. If there is a difference between this general information and your plan documents, your plan will be used to determine your coverage.
Administrative process
Prior authorization is not required for artificial insemination (AI) or intra-uterine insemination (IUI).
Coverage
Artificial insemination (AI) and Intra-uterine insemination (IUI) are not a covered benefit per your plan documents.
Definitions
Intra-uterine insemination (IUI) is placing sperm into a woman's uterus for the purpose of conception.
Artificial insemination (AI) is placing sperm into a woman's vagina for the purpose of conception.
Codes
If available, codes are listed below for informational purposes only, and do not guarantee member coverage or provider reimbursement. The list may not be all-inclusive.
58321 - Artificial insemination; intra-cervical
58322 - Artificial insemination; intra-uterine
58323 - Sperm washing for artificial insemination
69.92 - Artificial insemination
ICD-10-PCS Codes (Effective 10/1/2014)
3E0P3LZ - Introduction of Sperm into Female Reproductive, Percutaneous Approach
3E0P7LZ - Introduction of Sperm into Female Reproductive, Via Natural or Artificial Opening
CPT Copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
This information is for most, but not all, CoOportunity Health plans. Please read your plan documents to see if your plan has limits or will not cover some items. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.
CoOportunity Health has contracted with HealthPartners Administrators, Inc. to provide claims processing, medical management and certain other administrative services.