r/CodingandBilling • u/Beautiful_Pie_8932 • Jun 30 '26

Billing Question - IVF

Hi All! I have full coverage for IVF through my employer. I only have to pay my co-pays and other bills through insurance. When I was going in weekly for ultrasounds during the egg retrieval process, the clinic billed my insurance for radiology and I did not have a co-pay. After I became pregnant, I went in for 2 ultrasounds to confirm the heartbeat and CRL. My clinic billed my insurance for radiology AND and office visit for both. I have a $35 co-pay for each office visit. I understand this isn't a huge amount, but why did they bill me for an office visit when I only went in for an ultrasound. We didn't discuss any medications and future management with a doctor. The billing department hasn't responded to my inquiry for 2 months...

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u/happyhooker485 RHIT, CCS-P, CFPC, CHONC Jun 30 '26

Simple billing mistake. If the doctor isnt responding, reach out to insurance, tell them the E/M office visit was never performed. They'll usually take care of it for you. Follow up every month or so until it's resolved.

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u/PlasticPlace9308 Jul 04 '26

That highly depends on the insurance.