2025 CPT code 89290
(Active) Effective Date: N/A Revision Date: N/A Laboratory Procedure - Reproductive Medicine Procedures Pathology and Laboratory Procedures Feed
Microscopic biopsy of oocyte polar bodies or embryo blastomeres (≤5 embryos) for preimplantation genetic diagnosis (PGD).
Modifiers may apply depending on the circumstances of the procedure. Refer to the most current CPT guidelines and payer-specific guidelines. Common modifiers include 90 (outside laboratory), 91 (repeat test), and others as applicable based on the clinical context.
Medical necessity is established when PGD is deemed clinically appropriate to reduce the risk of transmitting known genetic conditions or chromosomal abnormalities to offspring through IVF.This is determined on a case-by-case basis in consultation with a genetic counselor and reproductive endocrinologist.
A laboratory analyst performs the technical aspects of the biopsy, including aspiration and extraction of the cells using a microtechnique. A physician interprets the results and determines the clinical course of action.
In simple words: This lab test involves a tiny biopsy of cells from an egg or embryo to check for genetic problems before it's implanted in the uterus during in-vitro fertilization (IVF).
This CPT code encompasses the microscopic biopsy of up to five oocyte polar bodies or embryo blastomeres, utilizing a microtechnique, specifically for preimplantation genetic diagnosis (PGD).The procedure involves the aspiration and extraction of these cells for genetic analysis to screen for chromosomal abnormalities or genetic disorders before embryo implantation. This service does not include subsequent procedures such as embryo culture or preparation for transfer.
Example 1: A patient undergoes IVF, and several embryos are created.Prior to embryo transfer, a biopsy of one polar body from each of five embryos is performed for PGD to screen for aneuploidy., A couple with a known genetic condition opts for PGD to reduce the risk of transmitting the condition to their child.A biopsy of blastomeres is performed on three embryos created during an IVF cycle., During an IVF cycle, a patient chooses PGD to test for multiple genetic disorders. A polar body biopsy is performed on 5 embryos to assess for cystic fibrosis, Huntington's disease and other chromosomal abnormalities.
* Patient consent form for PGD.* Detailed clinical history including genetic testing results for the patient and their partner (if applicable).* IVF cycle documentation including date of oocyte retrieval, fertilization methods, and embryo development.* Microscopic images and pathology reports detailing the biopsy results.* Lab requisition forms indicating the specific genetic tests performed.
** This code is specific to the biopsy procedure itself and does not include other services such as genetic testing or embryo transfer.Ensure that these are billed separately using the appropriate CPT codes. Always cross-reference with payer-specific guidelines for accurate billing and reimbursement.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: Information not available in source.RVUs vary by payer and geographic location. Consult your specific payer's fee schedule.
- Global Days: This is a laboratory procedure; no global surgical period applies.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this lab procedure.
- Fee Schedule: Fee schedules are variable and depend on location and payer. Consult historical payer-specific fee schedules for reimbursement details.
- Specialties:Reproductive Endocrinology and Infertility, Genetics, Pathology
- Place of Service:Laboratory, Ambulatory Surgical Center