Initial office visit diagnosis

I had a patient in a office who came in for initial fertility check up, she was trying to conceive for 2 years. She does not have a confirmed infertility dx yet. DX V26.49 denied by her insurance as she has only diagnostic coverage. I don't have any sign or symptoms to code. How should I code the dx for office visit 99204? Please help?

Thanks

San

Initial office visit diagnosis