2025 CPT code 89254
(Active) Effective Date: N/A Laboratory - Reproductive Medicine Procedures Pathology and Laboratory Feed
Identification of oocytes from follicular fluid.
Modifiers may be applicable to indicate specific circumstances, such as modifier 90 for services performed by a reference (outside) laboratory, or modifier 91 for repeat laboratory tests.
Medical necessity is established by the underlying infertility diagnosis or other medical condition requiring oocyte identification, such as egg freezing for fertility preservation or for use in assisted reproductive technologies.
The clinical responsibility for this code lies with the laboratory personnel, typically an embryologist, who performs the oocyte identification. They are responsible for the proper handling, identification, and preparation of the oocytes from the follicular fluid.
In simple words: This code covers the lab work of finding and preparing eggs from the fluid collected during an egg retrieval procedure.The lab technician looks at the fluid under a microscope to find the eggs so they can be used for fertilization.
This code represents the laboratory service of identifying oocytes (eggs) within follicular fluid obtained during an oocyte retrieval procedure.It involves microscopic examination of the follicular fluid to locate, isolate, and prepare the oocytes for further processing, such as in vitro fertilization (IVF). It does not include the oocyte retrieval procedure itself, which is billed separately.
Example 1: A patient undergoing IVF has follicular fluid aspirated. The fluid is sent to the lab, where an embryologist uses code 89254 to identify and prepare the oocytes for fertilization., A woman undergoing egg freezing has her eggs retrieved. Code 89254 is used for the identification of the oocytes within the follicular fluid so they can be cryopreserved., During an infertility workup, a patient has a follicle aspiration. 89254 is used in analyzing the follicular fluid for oocyte presence and maturity assessment, providing valuable diagnostic information.
Documentation should include details of the oocyte retrieval procedure, the source of the follicular fluid, and a report of the number of oocytes identified and their maturity status.
** Code 89254 is specific to the identification of oocytes from follicular fluid. It does not include other procedures, such as oocyte retrieval, fertilization, or embryo culture, which are billed separately. The number of oocytes identified should be documented in the lab report.
- Payment Status: Active
- Specialties:Reproductive Endocrinology, Infertility, Embryology
- Place of Service:Independent Laboratory