2025 CPT code 89310
(Active) Effective Date: N/A Pathology and Laboratory Procedures - Reproductive Medicine Procedures Feed
Semen analysis; motility and count (not including Huhner test).
Modifiers may be applicable to 89310 in certain circumstances, such as modifier 52 (reduced services), modifier 90 (reference outside laboratory), or modifier 91 (repeat clinical diagnostic laboratory test).Always consult current CPT coding guidelines.
Medical necessity for 89310 is established when evaluating male infertility, monitoring fertility treatment, or assessing sperm health in specific clinical scenarios (e.g., history of undescended testicle, exposure to gonadotoxins).
The laboratory analyst performs the technical steps of analyzing the semen sample, including assessing sperm motility and count using microscopic examination.
In simple words: This test analyzes a semen sample to check the number of sperm and how well they move. It helps determine potential male infertility issues.
This code represents a laboratory procedure for semen analysis, specifically evaluating sperm motility (movement) and count (concentration). It does not include the post-coital Huhner test, which assesses sperm-cervical mucus interaction.
Example 1: A 35-year-old male and his partner have been trying to conceive for a year without success. The physician orders a semen analysis (89310) to evaluate the patient's sperm count and motility as part of an infertility workup., A 28-year-old male with a history of undescended testicle is concerned about his fertility and requests a semen analysis (89310) to assess his sperm health., A 42-year-old male undergoing fertility treatment requires regular semen analyses (89310) to monitor sperm parameters and adjust treatment strategies.
The documentation should include the patient's medical history, reason for the semen analysis, date and time of sample collection, method of collection, and the laboratory report detailing sperm count, motility, and any other relevant findings like volume, pH, and morphology.
** For more complex reproductive medicine laboratory procedures not described by 89310 or other specific codes, consider using the unlisted reproductive medicine laboratory procedure code 89398. Always ensure accurate documentation and coding practices to justify medical necessity and proper reimbursement.
- Specialties:Urology, Reproductive Endocrinology, Infertility
- Place of Service:Office, Independent Laboratory, Outpatient Hospital