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See a sample rate comparisonCPT 89310 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Semen Analysis, A Semen Analysis Counts Sperm And Verifies That They Move Around In The Fluid. A Full Workup Can Include Examination Of Sperm Shape And The Direction In Which They Travel. The Semen Fluid Itself May Be Analyzed.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Reproductive Medicine Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $8.61 national lab fee schedule rate (2026) · View Medicare rates for 89310 |
| Medicaid Fee Schedule | $8.525 median of the 8 states in the free preview · View Medicaid rates for 89310 |
National average reimbursement for CPT 89310 by major payers:
$8.73
$7.84
$10.42
$13.16
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CPT 89310
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateChristopher Raio
Mercy Medical Center
$11.76Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$8.61Published ratePrisma Health-Upstate, Prisma Health Ob/Gyn Clinic
Prisma Health - Upstate
$7.75Published rateBruce Madsen
Eyecare Associates PC
$4.78Published rate
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See a sample payer proposalCPT 89310 vs. Other Reproductive Medicine Procedures Codes
The CPT 89310 code is part of the Pathology and Laboratory Procedures services used for Reproductive Medicine Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 89310 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 89300-CPT | Low | Semen Analysis, A Semen Analysis Counts Sperm And Verifies That They Move Around In The Fluid. A Full Workup Can Include Examination Of Sperm Shape And The Direction In Which They Travel. The Semen Fluid Itself May Be Analyzed. |
| 89310-CPT | Low | Semen Analysis, A Semen Analysis Counts Sperm And Verifies That They Move Around In The Fluid. A Full Workup Can Include Examination Of Sperm Shape And The Direction In Which They Travel. The Semen Fluid Itself May Be Analyzed. |
| 89320-CPT | Low | Semen Analysis, A Semen Analysis Counts Sperm And Verifies That They Move Around In The Fluid. A Full Workup Can Include Examination Of Sperm Shape And The Direction In Which They Travel. The Semen Fluid Itself May Be Analyzed. |
| 89331-CPT | Low | Urine Analysis For Sperm, This Test Helps To Diagnose A Condition Called Retrograde Ejaculation In Which Semen Travels Backward Into The Bladder After Ejaculation. A Urine Sample Is Examined And If They Are Present The Sperm Quantity Movement And Shape Are Examined. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89310. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89310 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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