2025 CPT code 89300
(Active) Effective Date: N/A Revision Date: N/A Laboratory - Semen Analysis Pathology and Laboratory Procedures > Reproductive Medicine Procedures Feed
Semen analysis evaluating sperm presence and/or motility, including a post-coital (Huhner) test.
Modifiers 79, 90, 91, and 99 may be applicable depending on the circumstances.Refer to the CPT manual for appropriate modifier usage guidelines.
Medical necessity is established when a couple is experiencing infertility, and this test is ordered to assess male factor infertility.Post-vasectomy, it's medically necessary to confirm the absence of sperm to ensure procedure success.In cases of recurrent miscarriage, testing may be medically necessary to investigate cervical factors.
The clinical responsibility lies with the laboratory analyst who performs the technical aspects of the semen analysis, including microscopic examination and interpretation of results. Ordering physician is responsible for medical decision-making based on results.
- Pathology and Laboratory Procedures > Reproductive Medicine Procedures
- Reproductive Medicine Procedures
In simple words: This lab test checks a woman's sample taken after sex to see if sperm are present and how well they move. This helps doctors figure out why a couple might be having trouble getting pregnant.
This CPT code encompasses a comprehensive semen analysis performed after sexual intercourse (post-coital), specifically assessing the presence and/or motility of sperm.The analysis includes a Huhner test, a crucial component in evaluating female fertility and identifying potential causes of infertility. The procedure involves microscopic examination of a post-coital specimen, obtained either by aspiration or swabbing from the female reproductive tract, to determine sperm presence and movement (motility). The results help evaluate the sperm's ability to navigate the cervical mucus, providing insights into fertility issues.
Example 1: A couple experiencing infertility undergoes this test to assess the sperm's ability to reach and fertilize the egg. The female partner provides a post-coital sample for analysis., Following a vasectomy, a semen analysis using this code confirms the absence of sperm in the ejaculate, verifying the procedure's success., A woman experiences recurrent miscarriages, and this test is ordered to evaluate the interaction of sperm and cervical mucus as a potential contributing factor.
* Patient demographics and identification.* Date and time of sample collection.* Method of sample collection (aspiration, swab).* Detailed microscopic findings (sperm count, motility, morphology).* Indication for the test (infertility evaluation, post-vasectomy check).* Clinician's interpretation and recommendations.
** Accurate specimen collection is paramount for reliable results.Patient education regarding proper sample collection is essential.The results should be interpreted in conjunction with other relevant clinical information.
- Revenue Code: T1H (LAB TESTS - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: Information not available in provided sources.Refer to CMS fee schedules and local payer policies for current RVU values.
- Global Days: Not applicable. This is a laboratory test, not a surgical procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable; this is a laboratory test.
- Fee Schedule: Fee schedule information not available in provided source; consult payer-specific fee schedules for historical data.
- Specialties:Reproductive Endocrinology & Infertility, Urology, Obstetrics & Gynecology
- Place of Service:Office, Laboratory, Hospital