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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Reproductive Medicine Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 22 - Increased Procedural Services XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $15.50 national lab fee schedule rate (2026) · View Medicare rates for 89322 |
| Medicaid Fee Schedule | $15.50 median of the 8 states in the free preview · View Medicaid rates for 89322 |
National average reimbursement for CPT 89322 by major payers:

$15.41

$14.34

$19.68

$47.29
Choose a payer to see a sample of rates for CPT 89322.
Golnaz Namazi
Casey Jarvis
North Shore-Lij Medical PC
Dong Hwang
North East Medical Services
Laveena Kondagari
Physician Affiliate Group Of New York PC
Jamie Gilroy
Ob/Gyn Affiliates
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Rate Benchmarking
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See a sample payer proposalCPT 89322 vs. Other Reproductive Medicine Procedures Codes
The CPT 89322 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 89322 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. |
| 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. |
| 89321-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. |
| 89322-CPT | Low | Full Semen Analysis, Semen Is Evaluated For Its Chemical Makeup And Volume. The Number Of Sperm Is Counted And Their Direction Of Movement Noted. This Analysis Also Records Details Of The Shape And Size Of Each Sperm. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89322. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89322 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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