Pathology/Lab Coding Alert

Reader Questions:

Document Semen Analysis Service

Question:  Our lab performs a polymorphonuclear neutrophils test for semen. I think the test is part of a sperm white blood cell count for infection. Could you please help me find the correct code(s)? 

Codify Subscriber

Answer:  Polymorphonuclear neutrophils (PMNs) are a type of white blood cell, which the lab can evaluate as part of a semen differential analysis.

You don’t specify if the PMN analysis is part of a more extensive test in your lab. The PMN analysis is often part of a semen analysis that includes volume, count, motility, and differential. If that’s what your lab does, the best code choice would be 89320 (Semen analysis; volume, count, motility, and differential).

If you have documentation only of the differential white cell count for semen, including PMN, you might use an unlisted code such as 89398 (Unlisted reproductive medicine laboratory procedure).