CPT^® 89261, Under Reproductive Medicine Procedures

The Current Procedural Terminology (CPT^®) code 89261 as maintained by American Medical Association, is a medical procedural code under the range - Reproductive Medicine Procedures.

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Summary

The lab analyst performs the technical lab steps to isolate sperm to prepare it for insemination or diagnosis. This code is specific to complex prep and includes semen analysis.

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IUI semen analysis coding

I think I am following your question. The diagnosis code of z31.89 or z31.81 should be used. When we bill IUI's with absolute male factor, the codes we bill are 58322 and 89261...as 89261 states it ... [ Read More ]

IUI semen analysis coding

I have several questions regarding IUI prep and semen analysis. 89260 and 89261 indicate they include semen analysis. Is that semen analysis both before and after? Or only one semen analysis? If onl... [ Read More ]

cpt code billing for semen analysis versus IUI

When doing a diagnostic semen analysis it would be 89320 you would only include 89261 if you are doing a mock wash in addition to the analysis. For an IUI you would bill 58322 for the IUI, there are o... [ Read More ]

cpt code billing for semen analysis versus IUI

My fellow coders/billers, When coding a semen analysis for diagnostic testing, we are using 89261 with either 89320 or 89321. When coding for IUI, we had been using ONLY 89261. Should any other co... [ Read More ]

sperm wash versus sperm analysis or both during IUI treatment

[QUOTE="Girlzsmom66, post: 337208, member: 314262"]89261 can be used for diagnostic test as well as IUI. It is billed under the male unless the female is using donor sperm, in which case, V26.1 would... [ Read More ]

sperm wash versus sperm analysis or both during IUI treatment

[b]sperm wash[/b] 89261 can be used for diagnostic test as well as IUI. It is billed under the male unless the female is using donor sperm, in which case, V26.1 would be used as the diagnosis.... [ Read More ]

sperm wash versus sperm analysis or both during IUI treatment

[b]Sperm Wash[/b] During an IUI there are two different types of washes depending on what technique is used. If they use a density gradient formula it is 89261 and if they use the swim up method it ... [ Read More ]

How do I get paid for 89261, 89254, 89250, 89280?

I do billing for an infertility clinic. I cannot get Aetna to pay for the following codes 89261, 89254, 89250, 89280. We code these with 58970 ( which they almost always pay for). They give me the ... [ Read More ]

Infertility

I have a question in regards to path and lab services related to infertility. What is the qualifier on who the services are billed under? is it the diagnosis? or the CPT? For example would CPT's 89260... [ Read More ]

Lab Services-Who Can Perform Them?

I have a provider that believes only an RN can peform a certain lab service. The CPT is 89261. Can anyone direct me where to go to find out who can perform this lab service?... [ Read More ]

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