Fertility & IVF Billing Services
ART cycle billing, embryology lab codes, and fertility benefit manager rules built for reproductive medicine, not generic medical billing.
- HIPAA Compliance Certified
- BAA signed with every client
- U.S. Wyoming LLC
- No setup fee
- No long-term contract
- Works inside your EHR
Fertility billing has its own rulebook. Most billers don't read it.
Sterling bills fertility like fertility, not generic OB-GYN.
Our AI is tuned to ART's specific coding structure, not a general reproductive-health filter.
The codes and rules that decide reimbursement.
ART Cycle Billing
CPT 58970-58976 for oocyte retrieval, embryo transfer, and related ART procedures.
CPT 58970-58976Embryology Lab Codes
CPT 89250-89280 for ICSI, assisted hatching, and lab services: often separately billable.
CPT 89250-89280Benefit Manager Billing
Progyny, Maven, and WINFertility each carry distinct authorization and claim workflows.
prior authState Mandate Rules
NY, MA, and other state fertility coverage mandates applied per plan.
complianceBuilt around the cycle, not a generic visit.
Verify
Benefit manager authorization and coverage limits confirmed before the cycle starts.
Scrub
ART and lab codes validated against global period and bundling rules.
Track Mandate
State mandate and benefit manager rules applied per patient plan.
Collect
Clean claims submit same-day; separately billable services aren't left uncaptured.
What fertility clinics ask first.
What CPT codes cover IVF billing?
How do you bill fertility benefit managers like Progyny or Maven?
Are genetic testing services billed separately in IVF cycles?
Do state fertility mandates affect billing?
What EHR systems do you work with for fertility clinics?
Get the free IVF & Fertility Billing Code Guide
Related reading
- Frozen embryo transfer billing. Which transfer and lab codes a frozen transfer cycle uses, and where each charge belongs.
- Provider credentialing & payer enrollment. Benefit managers like Progyny and Maven have their own enrollment paths on top of standard payer panels. We run both.
- How we verify our coding guidance. The primary sources behind these pages, who reviews them, and how we correct errors.
- Full-service RCM. Eligibility, coding, claims, denials and AR follow-up, end to end.
- Free credentialing for new billing clients. Credentialing with 3 insurance payers at no cost when you start billing with us.
See it on your own fertility claims.
Eligibility verification (EV), benefits verification (BV), prior authorizations, and denial management at no cost for your first 30 days.
No setup fee. No long-term contract.