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Semen Analysis CPT and CLIA Certification


I am seeking clarification of conflicting information we have researched for our practice. Listed below are the two coding corner responses that seem to provide conflicting information regarding CPT code 58323. Our specific question is does 58323 include count and motility analysis? If so, how can that be performed in a lab that does not have CLIA certification? It is my impression that counts can only be performed in a CLIA certified lab.

Coding Q&A

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Coding Andrology teaser

Semen analysis and thaw code

Can we use the semen analysis presence and motility (89300) code along with a reproductive tissue thaw code  (89354)
Coding Andrology teaser

TESE test thaws

We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures.
Coding Andrology teaser

Coding of identification of sperm in aspirate

During vasovasostomy/vasoepididyostomy procedures, our surgeons perform intra-op sperm identification from aspirate 
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Prewashed Sperm

I have a question regarding prewashed sperm and billing for this service.

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Topic Resources

View more on the topic of semen analysis
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Semen analysis and thaw code

Can we use the semen analysis presence and motility (89300) code along with a reproductive tissue thaw code  (89354) View the Answer
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Semen Analysis For Assessment of Fertility

What is the appropriate diagnostic code to use for a semen analysis for the assessment of infertility? View the Answer
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Semen Analysis of Pellet

What is the CPT code for a semen pellet analysis? View the Answer
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Semen Leukocyte Assay

What CPT code is applicable for a Semen Leukocyte Analysis or a Reflex Leukocyte Assay?

View the Answer
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Semen Morphology Without Analysis

What is the appropriate code for Strict Criteria Morphology alone (without semen analysis)? View the Answer
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Sperm Prep in Office vs. Lab

What are the codes for sperm washing when performed in the office vs in a CLIA certified lab? View the Answer
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Sperm Preparation IUI and IVF

What semen analysis codes apply to sperm preparation for IUI or IVF? View the Answer
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Sperm Viability Assay

Is there a separate CPT code for sperm viability? View the Answer
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Semen Analysis and Interpretation

My IVF lab does a full semen analysis with strict morphology. View the Answer
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Semen Analysis Code Types

Can you explain the differences between the semen analysis codes? View the Answer
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Retrograde Semen Analysis

What CPT code would you suggest for retrograde semen analysis? View the Answer
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Recommended practices for the management of embryology, andrology, and endocrinology laboratories: a committee opinion (2014)

A general overview for good management practices within the endocrinology, andrology, and embryology laboratories in the United States. View the Recommendation

Topic Resources

View more on the topic of intrauterine insemination (IUI)
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Sperm wash/IUI

Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the Answer
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Limited ultrasound performed by RN

Would it be appropriate to bill a 99211 when an RN is doing a limited ultrasound and documenting findings during an IUI or IVF treatment cycle? View the Answer
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Sperm Prep No Male Patient

Is it appropriate to bill sperm washing/prep for IUI to the female or should it be billed to the male? View the Answer
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Sperm Preparation IUI and IVF

What semen analysis codes apply to sperm preparation for IUI or IVF? View the Answer
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Sperm Wash

Does the sperm wash code cover the semen analysis and morphology, or can we bill separately under the male for these services? View the Answer
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Sperm Wash No Male Factor

What would be the best code to use for a sperm wash when it is not a male factor issue? View the Answer
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Prewashed Sperm

I have a question regarding prewashed sperm and billing for this service. View the Answer
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ICD-10 Code For Intrauterine Insemination (IUI) For Same-Sex Couple

Which ICD-10 code you recommend for IUI same gender couples? View the Answer
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IUI

We are seeing conflicting information about the correct ICD-10 diagnosis code for the CPT 58322, Artificial l Insemination, Intra-uterine.  View the Answer
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IUI or IVF

Should other ovarian dysfunction (diagnosis code E28.8) or unspecified ovarian dysfunction (diagnosis code E28.9) can be used for an IUI or an IVF cycle View the Answer
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IUI Performed By Nurses

In our office, nurses perform the IUI and credit the ordering physician. Are there any legal concerns with malpractice and can we bill an insurance company? View the Answer
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IUI Performed By Nurses With E/M

At our center, the intrauterine inseminations are performed by our nurses. View the Answer
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IUI Same Gender

When managing an IUI or IVF cycle for a female same sex couple or a patient that has no exposure to sperm, what ICD 10 diagnosis should be used? View the Answer
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IUI Sex Preselection

What is the proper ICD-10 code to use for a patient undergoing artificial insemination purely for sex preselection?

View the Answer
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IUI With E/M

Does the code for intrauterine insemination (IUI) (58322) include the office visit (E/M) for that day, or is that only for the actual procedure? View the Answer
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IVF Case Rates

What ICD-10 codes apply to case rates? View the Answer
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Ovulation Induction Monitoring for IUI

We would like to clarify the correct ICD 10 diagnosis code for monitoring of an IUI cycle.  View the Answer
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Follicle Monitoring For Diminished Ovarian Reserve

If a patient has decreased ovarian reserve (ICD-10 E28.8) and patient is undergoing follicle tracking to undergo either an IUI cycle or IVF cycle... View the Answer
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Diagnosis Codes For Intrauterine Insemination (IUI)

I was reviewing your Coding Corner information to find a definitive diagnosis for IUI procedures. Which diagnosis is the most appropriate? View the Answer
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Donor Sperm IUI Single Women

How do I code for therapeutic donor insemination for an unmarried female with no known fertility issues except no partner? View the Answer

Topic Resources

View more on the topic of sperm
Coding Icon

Semen analysis and thaw code

Can we use the semen analysis presence and motility (89300) code along with a reproductive tissue thaw code  (89354) View the Answer
Coding Icon

TESE test thaws

We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures. View the Answer
Coding Icon

Sperm wash/IUI

Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the Answer
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Semen Analysis For Assessment of Fertility

What is the appropriate diagnostic code to use for a semen analysis for the assessment of infertility? View the Answer
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Semen Analysis of Pellet

What is the CPT code for a semen pellet analysis? View the Answer
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Semen Freezing

We have a couple who are doing an IUI cycle. View the Answer
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Semen Leukocyte Assay

What CPT code is applicable for a Semen Leukocyte Analysis or a Reflex Leukocyte Assay?

View the Answer
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Semen Morphology Without Analysis

What is the appropriate code for Strict Criteria Morphology alone (without semen analysis)? View the Answer
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Sperm DNA Fragmentation

Is there a CPT code for HALO DNA Fragmentation for sperm? View the Answer
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Sperm Prep No Male Patient

Is it appropriate to bill sperm washing/prep for IUI to the female or should it be billed to the male? View the Answer
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Sperm Prep With Handling Fee

Could we charge for the thaw of sperm, then a handling fee (99000) to represent the fact that the sperm was prewashed? View the Answer
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Sperm Viability Assay

Is there a separate CPT code for sperm viability? View the Answer
Coding Icon

Semen Analysis and Interpretation

My IVF lab does a full semen analysis with strict morphology. View the Answer
Coding Icon

Semen Analysis Code Types

Can you explain the differences between the semen analysis codes? View the Answer
Coding Icon

Prewashed Sperm

I have a question regarding prewashed sperm and billing for this service. View the Answer
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Reproductive Tissue Storage

What are the CPT codes for the Storage of Reproductive Cells/Tissues? View the Answer
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Retrograde Semen Analysis

What CPT code would you suggest for retrograde semen analysis? View the Answer
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Lab Case Rates

What ICD-10 codes apply to case rates? View the Answer
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IUI

We are seeing conflicting information about the correct ICD-10 diagnosis code for the CPT 58322, Artificial l Insemination, Intra-uterine.  View the Answer
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Office Testicular Aspiration

We are inquiring about a coding question for testicular aspirations.  View the Answer
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Gamete Thawing/Warming

Can patients be charged for each vial/straw of reproductive gametes or tissues thawed? View the Answer
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Donor Sperm IUI Single Women

How do I code for therapeutic donor insemination for an unmarried female with no known fertility issues except no partner? View the Answer
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Cryopreservation/Vitrification Sperm/Testicular Tissues

What are the correct codes for the Cryopreservation/Vitrification of Sperm or testicular tissues? View the Answer
Document Icon

Intracytoplasmic sperm injection (ICSI) for non–male factor indications: a committee opinion (2020)

Intracytoplasmic sperm injection is frequently used in combination with assisted reproductive technologies. View the Committee Document
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Posthumous retrieval and use of gametes or embryos: an Ethics Committee opinion (2018)

Posthumous gamete (sperm or oocyte) retrieval or use for reproductive purposes is ethically justifiable if written documentation from the deceased authorizing the procedure is available. View the Committee Opinion