How To Use CPT Code 89254

CPT 89254 describes the identification of oocytes from follicular fluid, a procedure commonly performed in reproductive medicine. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 89254?

CPT 89254 is used to report the identification of oocytes from follicular fluid. This procedure is typically performed by a lab analyst who analyzes the fluid obtained from ovarian follicles to determine the presence of eggs. The identification of oocytes is an important step in reproductive medicine, particularly in in vitro fertilization (IVF) procedures.

2. Official Description

The official description of CPT code 89254 is: ‘Oocyte identification from follicular fluid.’

3. Procedure

1. The lab analyst performs the technical steps to analyze the follicular fluid obtained from the ovarian follicles.
2. Using a microscope, the lab analyst examines the fluid to identify the presence of oocytes, which are eggs.
3. The identification process involves careful observation and documentation of the oocytes found in the follicular fluid.

4. Qualifying circumstances

CPT 89254 is typically performed in reproductive medicine procedures, particularly in cases where in vitro fertilization (IVF) is being conducted. Providers may order this procedure to assess the presence of oocytes in the follicular fluid obtained from a woman’s ovaries. It is important to note that CPT 89254 is specifically for the identification of oocytes and does not include the retrieval or manipulation of the eggs.

5. When to use CPT code 89254

CPT code 89254 should be used when the lab analyst performs the identification of oocytes from follicular fluid. It is important to note that this code should not be used for procedures involving the retrieval or manipulation of the eggs. If additional procedures are performed, such as the removal of follicular fluid or the use of the identified oocytes for fertilization, separate codes should be used to report those services.

6. Documentation requirements

To support a claim for CPT 89254, the documentation should include:

• Indication for the procedure, such as the patient undergoing in vitro fertilization (IVF)
• Details of the procedure performed, including the analysis of follicular fluid and identification of oocytes
• Date of the procedure
• Results of the oocyte identification
• Signature of the lab analyst performing the procedure

7. Billing guidelines

When billing for CPT 89254, ensure that the procedure performed is specifically for the identification of oocytes from follicular fluid. It is important to note that this code should not be reported if additional procedures, such as the retrieval or manipulation of the eggs, are performed. Providers should use separate codes to report those services. It is also important to follow any specific billing guidelines provided by payers or regulatory bodies.

8. Historical information

CPT 89254 was added to the Current Procedural Terminology system on January 1, 1998. There have been no updates or changes to the code since its addition.

9. Examples

1. A lab analyst performing the identification of oocytes from follicular fluid obtained from a patient undergoing in vitro fertilization (IVF).
2. An embryologist examining the follicular fluid to identify the presence of oocytes for use in an IVF procedure.
3. A reproductive medicine specialist analyzing the fluid obtained from ovarian follicles to determine the number and quality of oocytes.
4. A fertility clinic conducting the identification of oocytes from follicular fluid as part of their standard IVF protocol.
5. A research laboratory studying the characteristics of oocytes obtained from follicular fluid for scientific purposes.
6. A reproductive endocrinologist assessing the presence of oocytes in the follicular fluid to determine the success of an ovarian stimulation protocol.
7. A fertility center performing the identification of oocytes from follicular fluid to select the most viable eggs for fertilization.
8. An assisted reproductive technology (ART) laboratory conducting the identification of oocytes from follicular fluid for use in various fertility treatments.
9. A reproductive biologist examining the follicular fluid to identify oocytes and assess their maturity for use in an IVF procedure.
10. A reproductive endocrinologist analyzing the follicular fluid to determine the optimal timing for oocyte retrieval in an IVF cycle.