Summary & Overview
CPT 89310: Semen Analysis with Motility and Count
CPT code 89310 designates a laboratory-performed semen analysis measuring sperm motility and sperm count on an ejaculate specimen; the service excludes the postcoital (Huhner) test. Nationally, semen analysis is a core diagnostic procedure in male fertility evaluation and contributes to reproductive health decision-making for patients and clinicians. The code captures a standard lab process that is widely performed across outpatient and hospital laboratory settings and is relevant to fertility clinics, urology practices, and general laboratories.
Key payers covered in this summary include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for CPT code 89310, common sites of service, and the role of the test in care pathways. The publication outlines how the code is used in claims and billing workflows and summarizes available benchmarks and policy considerations where provided.
This resource is intended to help billing staff, laboratory managers, and policy analysts understand the clinical meaning of CPT code 89310, typical application across care settings, and what information is available for payer coverage and benchmarking. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 89310 describes a semen analysis performed by a laboratory analyst that includes sperm motility and sperm count measurements on an ejaculate from a male patient. The description explicitly excludes the postcoital (Huhner) test.
Service Type: Laboratory diagnostic test — male reproductive specimen analysis
Typical Site of Service: Clinical laboratory or hospital laboratory setting, with specimen collection commonly performed in an outpatient clinic or designated collection room.
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Clinical & Coding Specifications
Clinical Context
A 34-year-old male presents to a reproductive endocrinology and infertility (REI) clinic after 12 months of unprotected intercourse without conception. The couple's infertility evaluation includes male factor assessment. The male patient is scheduled to provide an ejaculate specimen for laboratory semen analysis, performed by a trained lab analyst. The specimen is collected either on-site in a private collection room or delivered within the laboratory-specified time window after home collection. The lab performs macroscopic assessment (volume, viscosity, pH), sperm concentration (count), and motility assessment (progressive and non-progressive), but does not perform a post-coital Huhner test. Results are reported to the ordering clinician (typically a urologist or reproductive endocrinologist). Typical workflow: patient intake and consent → specimen collection and labeling → lab accessioning → semen analysis (microscopy and motility grading) → result entry and clinician review. Typical site of service is an outpatient laboratory or clinic-based specimen collection room associated with the REI or urology practice.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Unrelated E/M service by the same physician on the same day | Use when an unrelated evaluation and management service is performed the same day as the semen analysis by the same provider |