CPT code 89300: Semen analysis, includes postcoital testing2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Reports assessment of sperm presence or motility in semen, including postcoital testing of sperm in cervical mucus during fertility evaluation.
Medicare pays $9.84 for 89300 under the 2026 Clinical Laboratory Fee Schedule: one national amount, the same in every state and setting.
Medicare lab fee · CLFS 2026 Q4
National CLFS amount
$9.84
In effect since Jan 1, 2026. The same amount in every state, payment locality and setting.
- Geographic adjustment
- None
- Office vs facility
- Same
- Since 2020
- Unchanged
- QW · CLIA-waived test
- $9.84
Medicare pays the lesser of the lab’s charge and this amount. Patients usually owe no Part B deductible or coinsurance for covered clinical lab tests.
On this page 8 sections
What 89300 covers
This laboratory service assesses whether sperm are present and/or motile in a semen specimen. It also encompasses the Huhner, or postcoital, test, which examines cervical mucus collected after intercourse for sperm presence or motility. Fertility laboratories and other laboratories performing reproductive testing report it as part of evaluation for difficulty conceiving; the specific assessment depends on the test ordered.
Report the service for the analysis performed, not as a count-based semen analysis when that more extensive assessment is performed. CMS lists a QW version for sites holding a CLIA certificate of waiver. Medicare pays the test through the CLFS, with one national amount per code across all states and localities and no geographic or office-versus-facility adjustment. The 2026 national CLFS amount is $9.84, unchanged from 2020 through 2026. The test is paid only under the CLFS, not the physician fee schedule.
This summary was written with AI assistance from CMS Clinical Laboratory Fee Schedule data. Amounts on this page come directly from CMS files.
How Medicare pays 89300
Clinical lab tests aren’t priced like physician services. They’re paid from their own fee schedule, with its own rules. See the whole lab fee schedule.
One national amount
CMS sets a single Clinical Laboratory Fee Schedule amount for 89300. There’s no geographic (GPCI) adjustment, so it pays the same in every state and payment locality.
No office or facility rate
Lab tests aren’t built from relative value units, so there’s no office and facility split: the place of service doesn’t change the CLFS amount.
Updated every quarter
CMS republishes the CLFS each quarter. New tests, often proprietary laboratory analyses (PLA codes), join during the year; existing amounts are updated each January.
Excluded from the physician fee schedule
The physician fee schedule lists 89300 with status X (excluded by statute), so the test itself is paid only from the CLFS.
CLIA-waived version (QW)
CMS also lists 89300 with modifier QW, the version labs holding a CLIA certificate of waiver bill. It pays $9.84.
89300 on the lab fee schedule since 2020
89300 · CLFS 2026 Q4 (current)
$9.84
Unchanged since Jan 1, 2020
27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.
89300 compared with similar tests
- 89310Semen analysisMotility and count$8.61
- 89300 covers sperm presence and/or motility, including postcoital testing. 89310 is the count-based semen analysis option.
- 89320Semen analysisVolume, count, motility, differential$12.31
- Choose 89320 when the semen analysis includes volume, sperm count, and motility; 89300 covers presence and/or motility, including the Huhner test.
- 89330Sperm penetrationCervical mucus evaluation$10.38
- 89330 evaluates cervical mucus. 89300 assesses sperm presence or motility and includes the postcoital Huhner test.
89300 billing questions
When should 89300 be selected instead of a count-based semen analysis?
Use 89300 for assessment of sperm presence and/or motility, including the postcoital Huhner test. When the ordered service includes a sperm count, select the code that describes the count-based analysis performed.
Does 89300 include postcoital testing?
Yes. The service includes the Huhner test, which evaluates sperm in cervical mucus after intercourse.
When is modifier QW relevant?
CMS lists a QW version of this test for performance at a site holding a CLIA certificate of waiver. Use QW when reporting that waived version.
How does Medicare pay for 89300?
Medicare pays it through the CLFS at one national amount that applies across localities and settings. The test is paid only through the CLFS.
What should the order and laboratory record identify?
Document the ordered assessment and whether the specimen is semen or postcoital cervical mucus, along with the analysis performed. This supports distinguishing the service from count-based semen testing or a separate cervical mucus evaluation.
Where this amount comes from
FeeBase reads lab amounts directly from the CMS Clinical Laboratory Fee Schedule file for the quarter: one row per code, with its payment indicator and national amount. Contractor-priced tests are labeled, never given a made-up amount. Amounts are Medicare payment limits, not a patient’s bill or a commercial rate.
CMS CLFS 2026 Q4 · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file line behind this amount
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