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Forum: Secondary Fertility Issues

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  #1  
February 8th, 2011, 04:22 PM
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My OB is labeling everything as infertility. My mother (OB nurse for 15ish years) says "no you are not infertile. You can get pregnant, you can carry to term. You have some kind of medical condition causing a LPD. It is NOT infertility."
I'm frustrated because any bloodwork I have right now is being denied. We have insurance, but its the flex spending. Usually we a pro-rated amount. However, because the bloodwork is labels as infertility, it wont even gives us a prorated amount. I have not gotten any recent office visits or u/s bills so IDK about those yet. HOWEVER, my "infertility meds" are covered 100% since we reached our deductable. The only one that was funny was the trigger shot (but still it is cheaper now that we hit the magic number then it was last cycle before we reached the magic number!). I mean, the blood work is $600!! For last cycle they had me do CD 3 FSH and CD 21 progestrone (7DPO) so it was $1,200 on just bloodwork! I'd be really nice if they could find an alt code to use. Really I don't care infertile or not - all I know is I can get pregnant all day long but I can't stay pregnant b/c of the LPD. I just don't like the "I" word since insurance refuses to cover it.
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  #2  
February 8th, 2011, 05:30 PM
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Can you ask them to label it as a hormonal imbalance ? That is what my doctor is calling my LPD.
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  #3  
February 8th, 2011, 07:38 PM
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Good idea!! I will ask about that when I go in again! . Any other coding suggestions would be great.
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  #5  
February 9th, 2011, 06:00 AM
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Quote:
Originally Posted by deniselaura68 View Post
you have to go through a test to really know the exact details about it.....and i suggest both of you go through it.
Are you talking about the inital work up? If so we've did that in nov/dec.
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  #6  
February 9th, 2011, 06:33 PM
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My doctor labeled it as an unknown hormonal issue or some such nonsense as well. My insurance wouldn't touch anything with infertility included. He also listed me as a "spontaneous aborter" (as much as I HATE that term) instead of just as infertile to get other procedures through.
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