Preimplantation Embryo Biopsy

Carelon Medical Benefits Management · Clinical Guideline · CARELON-PREIMPLANTATION-EMBRYO-BIOPSY

Summary of the payer’s published policy. Not a coverage determination — confirm with Carelon Medical Benefits Management before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
89290	CPT	Covered
89291	CPT	Covered