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See a sample rate comparisonCPT 89325 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.
Sperm Autoimmunity Test, This Is A Type Of Fertility Test That Checks Men And Women Together For Immune Cells That Attack Sperm. Semen And Mucus From The Cervix Are Mixed Together And Observed. If The Antibodies Are Present The Sperm Will Clump Together.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Reproductive Medicine Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $10.67 national lab fee schedule rate (2026) · View Medicare rates for 89325 |
| Medicaid Fee Schedule | $10.43 median of the 8 states in the free preview · View Medicaid rates for 89325 |
National average reimbursement for CPT 89325 by major payers:
$10.82
$7.81
$14.61
$17.69
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CPT 89325
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$60.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$23.47Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$12.68Published rateChristopher Raio
St Joseph Hospital
$6.40Published rateAaron Askew
The Orthopedic And Neurosurgical Center Of The Cascades
$4.48Published rate
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See a sample payer proposalCPT 89325 vs. Other Reproductive Medicine Procedures Codes
The CPT 89325 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 89325 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 |
|---|---|---|
| 89257-CPT | Low | Sperm Collection From Testicle, This Procedure Collects Fluid Or Tissue Directly From A Testicle To Find Out If Sperm Are Present. Fluid Is Taken To Help Diagnose A Blockage. Tissue Is Sampled When Other Methods Would Damage The Testicle. |
| 89258-CPT | Moderate | Cryopreservation; Embryo |
| 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. |
| 89325-CPT | Low | Sperm Autoimmunity Test, This Is A Type Of Fertility Test That Checks Men And Women Together For Immune Cells That Attack Sperm. Semen And Mucus From The Cervix Are Mixed Together And Observed. If The Antibodies Are Present The Sperm Will Clump Together. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89325. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89325 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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