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The CPT® Code 89320 refers to a semen analysis that encompasses a comprehensive evaluation of several key parameters: volume, count, motility, and differential. This analysis is crucial for assessing male fertility and involves measuring the total volume of semen produced in a single ejaculation, which provides insight into reproductive health. The sperm count is determined by calculating the total density of sperm per milliliter of semen, with a normal threshold set at 20 million sperm per milliliter or more. Additionally, motility is assessed to determine the number of active sperm that exhibit good forward motion, which is essential for successful fertilization. A normal motility count is defined as 8 million motile sperm per milliliter or higher. Furthermore, the differential analysis evaluates the morphology of sperm, identifying the proportion of sperm that appear normal when examined microscopically. This comprehensive semen analysis is vital for diagnosing potential fertility issues and guiding further reproductive health interventions.
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The semen analysis coded under CPT® 89320 is indicated for various clinical scenarios related to male fertility assessment. The following conditions may warrant this procedure:
The procedure for conducting a semen analysis under CPT® 89320 involves several critical steps to ensure accurate results. The following outlines the procedural steps:
After the semen analysis is completed, the results are compiled and interpreted by a qualified healthcare professional. Patients may be advised to discuss the findings in a follow-up appointment to understand the implications of the results on their fertility. Depending on the outcomes, further testing or treatment options may be recommended. It is also important for patients to be aware that factors such as abstinence duration, sample handling, and laboratory techniques can influence the results of the semen analysis.
| Short Descr | SEMEN ANAL VOL/COUNT/MOT | Medium Descr | SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | Long Descr | Semen analysis; volume, count, motility, and differential | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | CLIA Waived (QW) | No | APC Status Indicator | Conditionally packaged laboratory tests | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T1H - Lab tests - other (non-Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 206 - Microscopic examination (bacterial smear, culture, toxicology) |
| 90 | Reference (outside) laboratory: when laboratory procedures are performed by a party other than the treating or reporting physician or other qualified health care professional, the procedure may be identified by adding modifier 90 to the usual procedure number. | GA | Waiver of liability statement issued as required by payer policy, individual case | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | Q4 | Service for ordering/referring physician qualifies as a service exemption |
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| 2013-01-01 | Changed | Guideline information changed. |
| 2008-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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