How To Use CPT Code 58323

CPT 58323 describes the procedure of sperm washing for artificial insemination. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58323?

CPT 58323 can be used to describe the process of sperm washing for artificial insemination. This code is used when the provider prepares the sperm for insemination by cleaning it of debris, antibodies, bacteria, and abnormal sperm.

2. Official Description

The official description of CPT code 58323 is: ‘Sperm washing for artificial insemination.’

3. Procedure

1. The provider allows the semen specimen to liquefy.
2. Various media are added to the semen, and the specimen is gently centrifuged for several minutes.
3. The provider allows the sperm to settle or concentrate in a small volume.
4. The concentrated volume is loaded into an insemination catheter.
5. The provider or the infertility lab staff may perform this procedure.

4. Qualifying circumstances

This procedure is always performed in conjunction with intrauterine artificial insemination and sometimes performed in conjunction with intracervical insemination. It is used to achieve pregnancy without intercourse.

5. When to use CPT code 58323

CPT code 58323 should be used when the provider performs sperm washing for artificial insemination. It is important to note that this code is always used in conjunction with other procedures for artificial insemination.

6. Documentation requirements

To support a claim for CPT 58323, the provider must document the following information:

• Details of the semen specimen and the need for sperm washing
• Specific steps taken during the procedure, including the use of media and centrifugation
• Date and time of the procedure
• Any additional procedures performed in conjunction with sperm washing
• Signature of the provider or infertility lab staff performing the procedure

7. Billing guidelines

When billing for CPT 58323, ensure that the procedure is performed in conjunction with other artificial insemination procedures. It is important to follow the guidelines for reporting multiple procedures and to use the appropriate modifiers if necessary. This code should not be reported if other specific codes for sperm washing are already performed in the previous seven days.

8. Historical information

CPT 58323 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates to the code since its addition.

9. Examples

1. A provider performing sperm washing for artificial insemination in conjunction with intrauterine insemination for a couple trying to conceive.
2. An infertility lab staff member performing sperm washing for artificial insemination in conjunction with intracervical insemination for a single woman using donor sperm.
3. A provider performing sperm washing for artificial insemination in conjunction with intrauterine insemination and superovulation for a couple undergoing fertility treatment.
4. An infertility lab staff member performing sperm washing for artificial insemination in conjunction with intrauterine insemination and sperm preparation techniques for a couple using donor sperm.
5. A provider performing sperm washing for artificial insemination in conjunction with intrauterine insemination and superovulation, using sperm preparation techniques, for a couple undergoing advanced fertility treatment.
6. A provider performing sperm washing for artificial insemination in conjunction with intrauterine insemination and donor sperm for a same-sex couple trying to conceive.
7. An infertility lab staff member performing sperm washing for artificial insemination in conjunction with intracervical insemination and donor sperm for a single woman undergoing fertility treatment.
8. A provider performing sperm washing for artificial insemination in conjunction with intrauterine insemination and superovulation, using sperm preparation techniques, and donor sperm for a couple undergoing advanced fertility treatment.
9. An infertility lab staff member performing sperm washing for artificial insemination in conjunction with intrauterine insemination and sperm preparation techniques, using donor sperm, for a couple undergoing advanced fertility treatment.
10. A provider performing sperm washing for artificial insemination in conjunction with intrauterine insemination and superovulation, using sperm preparation techniques, and donor sperm for a same-sex couple trying to conceive.