How To Use CPT Code 89353

CPT 89353 describes the process of thawing cryopreserved sperm or semen aliquots for use in reproductive medicine procedures. 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 89353?

CPT 89353 can be used to describe the thawing of cryopreserved sperm or semen aliquots for use in reproductive medicine procedures. This code is used when a lab analyst performs the technical steps to thaw each aliquot, including warming them to body temperature, expelling them from vials or straws, and washing them before using them for fertilization.

2. Official Description

The official description of CPT code 89353 is: ‘Thawing of cryopreserved; sperm/semen, each aliquot.’

3. Procedure

  1. The lab analyst retrieves the cryopreserved sperm or semen aliquots stored for use at a later date.
  2. The analyst selects the appropriate vials or straws containing the aliquots.
  3. The aliquots are gradually thawed, typically by warming them in a water bath to body temperature.
  4. Once thawed, the analyst expels the aliquots from the vials or straws.
  5. The aliquots are then washed to remove the cryopreservation fluid.
  6. The thawed and washed aliquots are now ready for use in fertilizing a female patient’s eggs.

4. Qualifying circumstances

CPT 89353 is used in reproductive medicine procedures for male patients who require cryopreserved sperm or semen for various reasons, such as cancer therapy, infertility surgery, or vasectomy. The thawing of the aliquots is performed by a lab analyst in a facility specializing in reproductive medicine and infertility treatments.

5. When to use CPT code 89353

CPT code 89353 should be used when a lab analyst performs the thawing of cryopreserved sperm or semen aliquots for use in reproductive medicine procedures. It should not be used for cryopreservation or storage, which have their own specific codes (89259 and 89343, respectively).

6. Documentation requirements

To support a claim for CPT 89353, the documentation should include:

  • Identification of the patient and the need for thawing cryopreserved sperm or semen aliquots
  • Details of the technical steps performed by the lab analyst, including the warming process, expulsion from vials or straws, and washing
  • Date and time of the thawing procedure
  • Any additional relevant information or notes related to the procedure

7. Billing guidelines

When billing for CPT 89353, ensure that the procedure is performed by a lab analyst and that the thawing process is documented. It is important to note that CPT 89353 should not be reported with other codes for cryopreservation or storage. Additionally, if semen analysis is performed after thawing, it should be reported separately using code 89321.

8. Historical information

CPT 89353 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates to the code since its addition.

9. Examples

  1. A lab analyst thaws a cryopreserved sperm aliquot for use in fertilizing a female patient’s eggs during a reproductive medicine procedure.
  2. After cancer therapy, a male patient’s cryopreserved semen aliquots are thawed by a lab analyst for use in future fertility treatments.
  3. A lab analyst performs the thawing of cryopreserved sperm aliquots for a male patient who is undergoing infertility surgery.
  4. Following a vasectomy, a lab analyst thaws cryopreserved semen aliquots for a male patient who wishes to use them for future fertility procedures.
  5. During an in vitro fertilization (IVF) procedure, a lab analyst thaws cryopreserved sperm aliquots for use in fertilizing a female patient’s eggs.
  6. A lab analyst performs the thawing of cryopreserved semen aliquots for a male patient who is participating in a clinical trial for male infertility treatments.
  7. After storage for several years, cryopreserved sperm aliquots are thawed by a lab analyst for use in a reproductive medicine procedure for a male patient.
  8. A lab analyst thaws cryopreserved semen aliquots for a male patient who is undergoing a fertility preservation procedure before cancer treatment.
  9. During an intrauterine insemination (IUI) procedure, a lab analyst thaws cryopreserved sperm aliquots for use in fertilizing a female patient’s eggs.
  10. Following a vasectomy reversal, a lab analyst thaws cryopreserved semen aliquots for a male patient who wishes to use them for future fertility treatments.

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