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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Physician Review during billing of Semen Analysis
When billing for a semen analysis, is the physician required
Billing for the partner workup
Are most practices in REI billing male partners for their history? We also order labs and sperm count on all male partners.
Semen analysis and thaw code
Can we use the semen analysis presence and motility (89300) code along with a reproductive tissue thaw code (89354)
TESE test thaws
We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures.Login now to view this Coding information. Coding Resources are available to ASRM Members only.
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Topic Resources
View more on the topic of semen analysis
Physician Review during billing of Semen Analysis
When billing for a semen analysis, is the physician required View the Answer
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
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
Semen Analysis of Pellet
What is the CPT code for a semen pellet analysis? View the Answer
Semen Leukocyte Assay
What CPT code is applicable for a Semen Leukocyte Analysis or a Reflex Leukocyte Assay?View the Answer
Semen Morphology Without Analysis
What is the appropriate code for Strict Criteria Morphology alone (without semen analysis)? View the Answer
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
Sperm Viability Assay
Is there a separate CPT code for sperm viability? View the Answer
Semen Analysis and Interpretation
My IVF lab does a full semen analysis with strict morphology. View the Answer
Semen Analysis Code Types
Can you explain the differences between the semen analysis codes? View the Answer
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
Retrograde Semen Analysis
What CPT code would you suggest for retrograde semen analysis? View the Answer
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 RecommendationTopic Resources
View more on the topic of intrauterine insemination (IUI)
Fertility and Sterility On Air - TOC: July 2024
Articles this month include: predicting ART complications, laser assisted hatching on vitrified blastocysts, predictive models of miscarriage and more.Listen to the Episode
Sperm wash/IUI
Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the Answer
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
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
Sperm Preparation IUI and IVF
What semen analysis codes apply to sperm preparation for IUI or IVF? View the Answer
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
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
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
Prewashed Sperm
I have a question regarding prewashed sperm and billing for this service. View the Answer
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
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
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
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
IUI Performed By Nurses With E/M
At our center, the intrauterine inseminations are performed by our nurses. View the Answer
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
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
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
IVF Case Rates
What ICD-10 codes apply to case rates? View the Answer
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
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
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
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 AnswerTopic Resources
View more on the topic of sperm
Journal Club Global en Español: De la Reunión de la SAMER 2024
Onsite de la Reunión de la Sociedad Argentina de Medicina Reproductiva (SAMER) de Córdoba, Argentina View the Video
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
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
TESE test thaws
We perform test thaws to determine if frozen TESE specimens from other clinics are suitable for our procedures. View the Answer
Sperm wash/IUI
Is CPT code 89260 is correct to use for our sperm wash/IUI procedure? View the Answer
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
Semen Analysis of Pellet
What is the CPT code for a semen pellet analysis? View the Answer
Semen Freezing
We have a couple who are doing an IUI cycle. View the Answer
Semen Leukocyte Assay
What CPT code is applicable for a Semen Leukocyte Analysis or a Reflex Leukocyte Assay?View the Answer
Semen Morphology Without Analysis
What is the appropriate code for Strict Criteria Morphology alone (without semen analysis)? View the Answer
Sperm DNA Fragmentation
Is there a CPT code for HALO DNA Fragmentation for sperm? View the Answer
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
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
Sperm Viability Assay
Is there a separate CPT code for sperm viability? View the Answer
Semen Analysis and Interpretation
My IVF lab does a full semen analysis with strict morphology. View the Answer
Semen Analysis Code Types
Can you explain the differences between the semen analysis codes? View the Answer
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
Prewashed Sperm
I have a question regarding prewashed sperm and billing for this service. View the Answer
Reproductive Tissue Storage
What are the CPT codes for the Storage of Reproductive Cells/Tissues? View the Answer
Retrograde Semen Analysis
What CPT code would you suggest for retrograde semen analysis? View the Answer
Lab Case Rates
What ICD-10 codes apply to case rates? View the Answer
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
Office Testicular Aspiration
We are inquiring about a coding question for testicular aspirations. View the Answer
Gamete Thawing/Warming
Can patients be charged for each vial/straw of reproductive gametes or tissues thawed? View the Answer
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
Cryopreservation/Vitrification Sperm/Testicular Tissues
What are the correct codes for the Cryopreservation/Vitrification of Sperm or testicular tissues? View the Answer
