Diagnosis Restrictions for Gonadotropin Follicle Stimulating and Luteinizing Hormones

Effective for dates of service on or after August 1, 2007, CPT-4 codes 83001 (gonadotropin; follicle stimulating hormone [FSH]) and 83002 (Éluteinizing hormone [LH]) are reimbursable only when billed in conjunction with one of the following ICD-9-CM diagnosis codes:

Codes 83001 and 83002 should only be ordered when medically indicated, based on patient evaluation. Gonadotropin level tests for screening or non-indicated disease processes are not medically justified, and therefore, not reimbursable. ICD-9-CM codes 403.0 – 403.9, 404.0 – 404.9 and 571.0 – 571.9, that were previously supported in connection with codes 83001 and 83002, have been deleted.