2025 CPT code 89259
(Active) Effective Date: N/A Revision Date: N/A Laboratory - Reproductive Medicine Procedures Pathology and Laboratory Procedures Feed
Cryopreservation of sperm.
Modifiers may be applicable depending on the circumstances.Refer to the CPT manual for specific guidelines on modifier usage.
Medical necessity for sperm cryopreservation is established when there is a risk of infertility due to medical treatments (e.g., chemotherapy, radiation), surgical procedures (e.g., vasectomy, orchidectomy), or pre-existing conditions affecting fertility.
The clinical responsibility lies with the laboratory personnel who perform the technical aspects of sperm cryopreservation, including sample preparation, freezing, and storage.
In simple words: This code covers the freezing and storing of a man's sperm in a special lab for later use in trying to have a baby.
This CPT code encompasses the laboratory procedures involved in cryopreservation of a male patient's sperm.The process includes the preparation of the sperm sample, the use of cryoprotective agents, controlled freezing protocols, and the storage of the cryopreserved sample.It does not include semen analysis, storage fees, or equipment costs.
Example 1: A 35-year-old male patient diagnosed with cancer is undergoing chemotherapy. Prior to the start of treatment, he undergoes sperm cryopreservation to preserve his fertility., A 42-year-old male patient is scheduled for a vasectomy.He chooses to have some of his sperm cryopreserved before the procedure., A 28-year-old male patient with a history of infertility is participating in an assisted reproductive technology (ART) program. Sperm cryopreservation is performed as part of his treatment plan.
* Patient's informed consent for the procedure.* Complete medical history of the patient.* Results of semen analysis (if performed).* Detailed documentation of the cryopreservation process, including the methodology used, cryoprotective agents utilized, and freezing protocol followed.* Record of the location and method of sperm storage.
** Accurate coding requires precise documentation of the procedures performed and adherence to current CPT guidelines.Always refer to the most updated CPT manual and payer specific guidelines.
- Revenue Code: T1H
- RVU: The relative value units (RVUs) for CPT code 89259 vary depending on geographic location, payer, and other factors.Consult the appropriate fee schedule for specific payment rates.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this code.
- Fee Schedule: Fee schedules for CPT code 89259 are subject to change and vary by location and payer. Consult relevant fee schedules for historical data.
- Specialties:Urology, Reproductive Endocrinology and Infertility, Oncology
- Place of Service:Laboratory