Prior Auth Required

89260 - • Sperm washing ( ), sperm isolation ( , ), sperm count

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service• Sperm washing ( ), sperm isolation ( , ), sperm count
Procedure / Service Description

Benefits are provided for artificial insemination which is a medical procedure in which sperm are - • Reimbursement for sperm washing or sperm isolation will be allowed when billed for a covered female member in relation to an artificial insemination procedure. • Sperm washing (58323), sperm isolation (89260, 89261), sperm count (89310, G0027), and repeat semen analysis (89320) may be separately reimbursed when performed on the same date as the artificial insemination procedure.

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.