2025 CPT code 89331
(Active) Effective Date: N/A Laboratory - Reproductive Medicine Procedures Pathology and Laboratory Feed
Sperm evaluation from urine for retrograde ejaculation (concentration, motility, morphology).
Modifiers may be applicable. Modifier 52 may be used for reduced services, modifier 90 for services performed by a reference (outside) laboratory, and modifier 91 for repeat laboratory tests.
Medical necessity for this test is established when there is clinical suspicion of retrograde ejaculation contributing to infertility or as part of a post-vasectomy reversal evaluation.Documentation should clearly support the need for the test.
The laboratory analyst performs the technical aspects of the test, including processing the urine specimen, analyzing sperm parameters (concentration, motility, morphology), and reporting the results.
In simple words: This test checks for sperm in urine after ejaculation to see if sperm is going into the bladder instead of out of the penis, which can cause infertility.
This code represents the laboratory analysis of a urine specimen following ejaculation to assess for retrograde ejaculation.The analysis includes evaluation of sperm concentration, motility, and morphology as indicated.
Example 1: A male patient experiencing infertility undergoes a post-ejaculatory urine analysis to determine if retrograde ejaculation is contributing to his condition., A man who has undergone a vasectomy reversal has his urine tested after ejaculation to confirm that sperm is now present in the ejaculate path., A patient with suspected neurological issues affecting bladder function undergoes this test to evaluate the integrity of the sphincter muscle control during ejaculation.
Documentation should include the reason for testing (e.g., infertility evaluation, post-vasectomy reversal), the time of specimen collection relative to ejaculation, and the complete laboratory report detailing sperm concentration, motility, and morphology.
- Payment Status: Active
- Specialties:Urology, Reproductive Endocrinology, Infertility
- Place of Service:Office, Independent Laboratory, Outpatient Hospital