How To Use CPT Code 89264

CPT 89264 describes the identification of sperm from testis tissue, whether it is fresh or cryopreserved. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 89264?

CPT 89264 can be used to describe the identification of sperm from testis tissue, whether it is fresh or cryopreserved. This code is used when a lab analyst performs the technical lab steps to identify the presence of sperm in the testis tissue specimen using microscopy.

2. Official Description

The official description of CPT code 89264 is: ‘Sperm identification from testis tissue, fresh or cryopreserved.’

3. Procedure

1. The lab analyst receives the testis tissue specimen, which can be either fresh or cryopreserved.
2. The lab analyst performs the necessary technical lab steps to identify the presence of sperm in the testis tissue specimen using microscopy.

4. Qualifying circumstances

CPT 89264 is typically ordered by clinicians in facilities specializing in reproductive medicine and infertility treatments. It is used when there is a need to identify sperm from testis tissue, whether it is fresh or cryopreserved. This may be necessary for procedures such as testicular sperm extraction (TESE) or for cryopreserved tissue used in insemination procedures.

5. When to use CPT code 89264

CPT code 89264 should be used when there is a need to identify sperm from testis tissue, whether it is fresh or cryopreserved. It is important to note that this code is specific to the identification of sperm and should not be used for other procedures such as testis biopsy or semen analysis.

6. Documentation requirements

To support a claim for CPT 89264, the documentation should include:

• Indication for the test and the need to identify sperm from testis tissue
• Type of testis tissue specimen (fresh or cryopreserved)
• Date and time of the test
• Results of the sperm identification
• Signature of the lab analyst performing the test

7. Billing guidelines

When billing for CPT 89264, ensure that the test is performed by a lab analyst and that the documentation requirements are met. There are no specific guidelines regarding reporting CPT 89264 with other codes.

8. Historical information

CPT 89264 was added to the Current Procedural Terminology system on January 1, 1999. There have been no updates to the code since its addition.

9. Examples

1. A lab analyst identifying sperm from fresh testis tissue for a patient undergoing testicular sperm extraction (TESE).
2. A lab analyst identifying sperm from cryopreserved testis tissue for use in an insemination procedure.
3. A lab analyst performing sperm identification from fresh testis tissue for a patient undergoing fertility treatment.
4. A lab analyst identifying sperm from cryopreserved testis tissue for a patient who previously had their tissue stored for future use.
5. A lab analyst performing sperm identification from fresh testis tissue for a patient with infertility issues.
6. A lab analyst identifying sperm from cryopreserved testis tissue for a patient undergoing assisted reproductive technology.
7. A lab analyst performing sperm identification from fresh testis tissue for a patient with a history of testicular cancer.
8. A lab analyst identifying sperm from cryopreserved testis tissue for a patient who wants to preserve their fertility before undergoing medical treatments.
9. A lab analyst performing sperm identification from fresh testis tissue for a patient with a genetic condition that affects sperm production.
10. A lab analyst identifying sperm from cryopreserved testis tissue for a patient who wants to use the sperm for future pregnancies.