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Official Description

Sperm identification from aspiration (other than seminal fluid)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

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.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 89257 is indicated for several specific conditions related to male fertility. These include:

  • Male Factor Infertility - This procedure is performed when there is a low number of sperm or poor quality of sperm present in an ejaculated semen sample, which may hinder natural conception.
  • History of Vasectomy - The procedure may be indicated for men who have undergone a vasectomy, as sperm may need to be retrieved directly from the reproductive structures for fertility assessment or assisted reproductive techniques.
  • Congenital Absence of the Vas Deferens - In cases where there is a congenital absence of the vas deferens, this procedure allows for the identification of sperm directly from the testes or epididymis, which is essential for evaluating fertility options.

2. Procedure

The procedure for sperm identification from aspiration involves several key steps that ensure accurate retrieval and analysis of sperm cells. These steps include:

  • Sample Collection - The first step involves the careful aspiration of fluid from the testes, vas deferens, or epididymis. This is typically performed using a fine needle aspiration technique, which allows for the collection of a small volume of fluid that may contain sperm cells.
  • Microscopic Examination - Once the sample is collected, it is placed on a microscope slide for examination. The laboratory technician or pathologist then uses a microscope to analyze the sample, looking specifically for the presence of sperm cells. This examination may involve various staining techniques to enhance visibility and facilitate identification.
  • Documentation of Findings - After the microscopic examination, the findings are documented in a laboratory report. This report includes details about the presence or absence of sperm, the quality of the sperm identified, and any other relevant observations that may assist in the evaluation of male fertility.

3. Post-Procedure

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)
Date
Action
Notes
1998-01-01 Added First appearance in code book in 1998.
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