2025 CPT code 89281
(Active) Effective Date: N/A Laboratory - Reproductive Medicine Procedures Pathology and Laboratory Feed
Assisted oocyte fertilization, microtechnique; greater than 10 oocytes.
Modifiers may be applicable. Refer to current CPT guidelines for correct usage.
Medical necessity for assisted oocyte fertilization is typically established by the diagnosis of infertility and the patient's participation in an IVF cycle.
The lab analyst performs the technical lab steps to inseminate oocytes retrieved from a female patient during an in vitro fertilization (IVF) cycle.This involves introducing sperm to an oocyte to fertilize it for conception and pregnancy.
In simple words: This code covers the lab work involved in fertilizing more than 10 eggs in a lab setting to help with conception. It involves using tiny tools and powerful microscopes to inject a single sperm into each egg.
The lab analyst performs the technical steps to assist in fertilizing eggs (oocytes) using microtechniques. This code is used for procedures involving more than 10 oocytes.The process involves inseminating the oocytes with sperm to achieve fertilization.The analyst uses high power magnification and specialized equipment to introduce a single sperm into each mature oocyte.
Example 1: A patient undergoing IVF has 15 oocytes retrieved.The lab analyst performs assisted oocyte fertilization using microtechniques on all 15 oocytes. Code 89281 is reported., A patient has 8 oocytes retrieved for IVF. The assisted oocyte fertilization is performed using microtechniques. Code 89280 is reported., During an IVF cycle, 22 oocytes are retrieved.Intracytoplasmic sperm injection (ICSI) is performed on all retrieved oocytes. Since ICSI is a distinct procedure, a different code would be used instead of 89281.
Documentation should include the number of oocytes fertilized using microtechniques, the method of fertilization (e.g., standard insemination, ICSI), and any other relevant details about the procedure.
- Revenue Code: T1H
- Specialties:Reproductive Endocrinology, Fertility Specialist, Embryology
- Place of Service:Inpatient Hospital, Outpatient Hospital