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See a sample rate comparisonCPT 89331 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Reproductive Medicine Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 59 - Distinct Procedural Service 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $19.59 national lab fee schedule rate (2026) · View Medicare rates for 89331 |
| Medicaid Fee Schedule | $19.395 median of the 8 states in the free preview · View Medicaid rates for 89331 |
National average reimbursement for CPT 89331 by major payers:
$20.15
$13.83
$21.61
$182.44
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CPT 89331
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$43.10Published rateAaron Askew
Praxis Health, P.C.
$21.55Published rateChristopher Raio
St Joseph Hospital
$11.75Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$10.94Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$6.86Published rate
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See a sample payer proposalCPT 89331 vs. Other Reproductive Medicine Procedures Codes
The CPT 89331 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 89331 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 |
|---|---|---|
| 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. |
| 89330-CPT | Low | Sperm Fertility Test, This Lab Test Combines Sperm With Cervical Mucus Or An Egg From A Small Animal To See If The Sperm Can Swim Through The Medium Or Penetrate The Egg. |
| 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 89331. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89331 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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