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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? Is fertility testing used for males? How about children and adolescence with specific structural problems or testicular failure?

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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.
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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 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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Semen Analysis CPT and CLIA Certification

 Listed below are the two coding corner responses that seem to provide conflicting information regarding CPT code 58323. 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 male fertility and andrology
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
Document Icon

Tobacco or marijuana use and infertility: a committee opinion (2023)

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Fertility and Sterility On Air - Microdose Interview: Dr. Ranjith Ramaswamy and Dr. Braian Ledesma

Listen to Dr. Ranjith Ramasamy and Dr. Braian Ledesma, who discuss the article "Fertility outcomes in men with prior history of anabolic steroid use." Listen to the Episode
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Diagnostic evaluation of sexual dysfunction in the male partner in the setting of infertility: a committee opinion (2023)

It is the responsibility of the clinician to assess for erectile dysfunction, ejaculatory dysfunction, or diminished libido in men presenting for infertility. View the Committee Opinion
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Testing With No History of Infertility

What diagnosis codes should  providers submit to insurance carriers while trying to evaluate fertility issues? View the Answer
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Post Vasectomy Infertility

If a husband has had a vasectomy, does the sterilization code apply to the wife's visits? View the Answer
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Lab RVUs

Is there a list of RVUs for embryology and andrology laboratory procedures, and if so, where can it be found? View the Answer
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Male Consult

My group was wondering if and how to code for a male partner consultation.  View the Answer
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Diagnostic Testing of an Infertile Couple

The Z31.41 is or is not the correct code to use for diagnostic testing of an infertile couple? And If so can if be used as the primary and only code? View the Answer
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Male Infertility

A summary of common codes for Male Infertility compiled by the ASRM Coding Committee. View the Coding Summary
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Journal Club Global Live from PCRS - ICSI for Non-Male Factor Infertility

While intracytoplasmic sperm injection (ICSI) has revolutionized the treatment of male factor infertility, a significant controversy still remains regarding its ubiquitous use in all IVF cycles. View the Video
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Optimizing natural fertility: a committee opinion (2022)

This committee opinion provides practitioners with suggestions for optimizing the likelihood of achieving pregnancy in couples... View the Committee Opinion
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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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Diagnosis and treatment of infertility in men: AUA/ASRM guideline part I (2021)

Part I outlines the appropriate evaluation of the male in an infertile couple. View the Guideline
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Diagnosis and Treatment of Infertility in Men: AUA/ ASRM Guideline Part II (2021)

The summary presented is Part II of the two-part series dedicated to the Diagnosis and Treatment of Infertility in Men: AUA/ASRM Guideline. View the Guideline
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Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Updated 2019)

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Improving the Reporting of Clinical Trials of Infertility Treatments (IMPRINT): modifying the CONSORT statement (2014)

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Recommended practices for the management of embryology, andrology, and endocrinology laboratories: a committee opinion (2014)

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Topic Resources

View more on the topic of sperm
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Fertility and Sterility On Air - Unplugged: May 2024

Topics include: counseling on pregnancy complications in PCOS patients, sorting early spermatocytes from testicular biopsies, and more. Listen to the Episode
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
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Sperm wash/IUI

Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the Answer
Podcast Icon

Fertility and Sterility On Air - TOC: February 2024

Topics this month include the optimial AMH level in oocyte donors, the role of mean number of DNA breakpoints (MDB) in sperm DNA integrity, and more. Listen to the Episode
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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

Semen Analysis CPT and CLIA Certification

 Listed below are the two coding corner responses that seem to provide conflicting information regarding CPT code 58323. 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