Prior Auth Required

89260 - Sperm isolation; simple prep (eg. per col gradient, albumin gradient) for insemination or

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSperm isolation; simple prep (eg. per col gradient, albumin gradient) for insemination or
Procedure / Service Description

Professional Providers - 89258 Cryopreservation; embryo(s) 89259 Cryopreservation; sperm 89260 Sperm isolation; simple prep (eg. per col gradient, albumin gradient) for insemination or diagnosis with semen analysis 89261 Sperm isolation; complex prep (eg, per col gradient, albumin gradient) for insemination or

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.