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The CPT® Code 89257 refers to a laboratory procedure specifically designed for the identification of sperm from an aspirated sample that is obtained through a method other than seminal fluid. This procedure involves the collection of a sample from male reproductive structures such as the testes, vas deferens, or epididymis. Once the sample is collected, it is examined under a microscope to identify the presence of sperm cells. The identification of sperm is crucial in cases of male factor infertility, particularly when there is a low sperm count or poor sperm quality in the ejaculated semen sample. Additionally, this procedure may be indicated in patients with a history of vasectomy or congenital absence of the vas deferens, where traditional sperm retrieval methods may not be effective. The code 89257 encapsulates the laboratory work involved in this identification process, ensuring that the necessary diagnostic steps are documented for proper medical coding and billing purposes.
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The procedure associated with CPT® Code 89257 is indicated for several specific conditions related to male fertility. These include:
The procedure for sperm identification from aspiration involves several key steps that ensure accurate retrieval and analysis of sperm cells. These steps include:
Post-procedure care for patients undergoing sperm identification from aspiration typically involves monitoring for any immediate complications related to the aspiration process, such as bleeding or infection at the aspiration site. Patients may be advised to avoid strenuous activities for a short period following the procedure. Additionally, the results of the sperm identification will be communicated to the patient and their healthcare provider, which may influence further fertility treatment options or interventions. Follow-up appointments may be scheduled to discuss the findings and potential next steps in the fertility evaluation process.
Short Descr | SPERM IDENTIFICATION | Medium Descr | SPRM ID FROM ASPIR OTH/THN SEMINAL | Long Descr | Sperm identification from aspiration (other than seminal fluid) | 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 | APC Status Indicator | STV-Packaged Codes | 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) |
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1998-01-01 | Added | First appearance in code book in 1998. |