CPT code 89310: Semen analysis, motility and count2026 Medicare lab fee · Clinical Laboratory Fee Schedule

Reports laboratory assessment of sperm count and motility in a semen specimen, commonly as part of an infertility evaluation.

CMS CLFS 2026 Q4Effective Oct 1, 2026Same amount nationwide17 Medicare services in 2024

Medicare pays $8.61 for 89310 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

$8.61

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
CMS updates
Quarterly

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
  1. Medicare lab fee
  2. What 89310 covers
  3. How it’s paid
  4. Amount history
  5. Similar tests
  6. Related codes
  7. Billing questions
  8. Sources

What 89310 covers

This laboratory service assesses sperm count and motility in a semen specimen. It is commonly ordered during evaluation of male-factor infertility and may be performed by a clinical laboratory or reproductive laboratory serving urology and fertility practices. The result helps clinicians assess sperm concentration and movement; it is distinct from a test that also evaluates semen volume or includes cervical-mucus testing.

Report 89310 for the count-and-motility analysis. The code is paid through the Medicare Clinical Laboratory Fee Schedule (CLFS), not the physician fee schedule. The 2026 national CLFS amount is $8.61, unchanged from 2020 through 2026. Medicare pays one amount per code across states and localities, without geographic adjustment or an office-versus-facility difference.

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 89310

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 89310. 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 89310 with status X (excluded by statute), so the test itself is paid only from the CLFS.

89310 on the lab fee schedule since 2020

89310 · CLFS 2026 Q4 (current)

$8.61

Unchanged since Jan 1, 2020

Amount in each year’s latest CLFS release · bars start at $0

27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.

89310 compared with similar tests

89320Semen analysisVolume, count, motility, differential$12.31
Choose 89310 for count and motility. Choose 89320 when semen volume is also evaluated.
89300Semen analysisIncludes postcoital testing$9.84
89310 covers count and motility without Huhner testing; 89300 is associated with analysis that includes Huhner testing.
89321Semen analysisSperm presence and motility$12.05
89321 is focused on sperm detection, while 89310 reports a count-and-motility analysis.

89310 billing questions

When should 89310 be used instead of 89320?

Use 89310 for semen analysis assessing sperm count and motility. Code 89320 is the nearby option when the analysis also includes semen volume.

How does 89310 differ from 89300?

Code 89310 reports count and motility without a Huhner test. Code 89300 is the option associated with semen analysis that includes Huhner testing.

What specimen is analyzed?

The test analyzes a semen specimen for sperm count and motility.

Does Medicare pay 89310 under the physician fee schedule?

No. Medicare classifies the test as excluded from the physician fee schedule; payment is through the CLFS.

Does the CLFS amount vary by location or setting?

No. The national CLFS amount applies across states and localities, with no geographic or office-versus-facility difference.

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
CLFS row for 89310PUF_CLFS_CY2026_Q4V1.csv, line 2,192 (CLFS 2026 Q4)

Open CMS sourceHow we source rates

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