How To Use CPT Code 89310

CPT 89310 describes the analysis of semen, specifically evaluating motility and count, excluding the post coital Huhner test. 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 89310?

CPT 89310 can be used to describe the analysis of semen, focusing on evaluating the motility and count of sperm. This code specifically excludes the post coital Huhner test. It is performed by a lab analyst on the ejaculate from a male patient.

2. Official Description

The official description of CPT code 89310 is: ‘Semen analysis; motility and count (not including Huhner test).’

3. Procedure

1. The lab analyst performs the technical lab steps to analyze the semen sample obtained from a male patient.
2. The analysis includes evaluating the motility, or movement, of the sperm, as well as counting the number of sperm present in millions per milliliter.
3. Various methods may be used, such as using a microscope to assess sperm motility and count.
4. The post coital Huhner test is not included in this procedure.

4. Qualifying circumstances

CPT 89310 is typically ordered by clinicians to evaluate males for infertility issues. It may be used to assess a low sperm count or sperm that are unable to move or swim normally. This code is specific to the analysis of semen and does not include the post coital Huhner test.

5. When to use CPT code 89310

CPT code 89310 should be used when performing a semen analysis to evaluate the motility and count of sperm, excluding the post coital Huhner test. It is important to ensure that the analysis is focused on these specific parameters and does not include other components.

6. Documentation requirements

To support a claim for CPT 89310, the documentation should include:

• Indication for the semen analysis and the reason for evaluating motility and count
• Details of the analysis method used, such as microscope examination
• Date and time of the analysis
• Results of the motility assessment and sperm count
• Signature of the lab analyst performing the analysis

7. Billing guidelines

When billing for CPT 89310, ensure that the analysis is focused on evaluating sperm motility and count, excluding the post coital Huhner test. It is important to follow the specific documentation requirements and provide accurate information to support the claim. There are no specific guidelines regarding reporting CPT 89310 with other codes.

8. Historical information

CPT 89310 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A lab analyst performs a semen analysis on a male patient, evaluating the motility and count of sperm.
2. During the analysis, the lab analyst uses a microscope to assess the movement of sperm and count the number of sperm present.
3. A clinician orders a semen analysis to evaluate a patient’s infertility issues, specifically focusing on sperm motility and count.
4. The lab analyst documents the results of the semen analysis, including the motility assessment and sperm count, for further evaluation by the clinician.
5. A male patient undergoes a semen analysis to assess the quality of his sperm, excluding the post coital Huhner test.
6. The lab analyst performs the necessary steps to analyze the semen sample, focusing on evaluating sperm motility and count.
7. A clinician reviews the results of a semen analysis, which includes the assessment of sperm motility and count, to determine the potential causes of infertility.
8. The lab analyst carefully examines the semen sample under a microscope, assessing the movement of sperm and counting their numbers.
9. A patient undergoes a semen analysis to evaluate the quality of his sperm, specifically focusing on motility and count.
10. The lab analyst performs the necessary analysis steps, excluding the post coital Huhner test, to assess the motility and count of sperm in the semen sample.