US · guidance
CMS Pub. 100-02, ch. 1, § 100
Treatment for Infertility
A3-3101.13
Effective for services rendered on or after January 15, 1980, reasonable and necessary
services associated with treatment for infertility are covered under Medicare. Like
pregnancy (see §80 above), infertility is a condition sufficiently at variance with the usual
state of health to make it appropriate for a person who normally would be expected to be
fertile to seek medical consultation and treatment. A/B MACs (A) should coordinate
with QIOs to see that utilization guidelines are established for this treatment if
inappropriate utilization or abuse is suspected.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
6832fe114deefba5a7ab0c7c1406a7199f8ed7cc57b12a0359d1396604db3613
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