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Q/A: Billing vasectomy and sperm analysis

Q: My question pertains to CPT® vasectomy code 55250. This code includes "unilateral or bilateral (separate procedure) including postoperative semen examination(s).” The CPT manualstates that a reference laboratory that performs the semen analysis may bill separately for this service. May we bill CPT code 89321 (semen analysis; sperm presence and motility of sperm, if performed.) in addition to 55250 when the laboratory performs the semen analysis and the surgeon only performs the vasectomy?

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