CPT code 89320: Semen analysis, volume, count, motility, differential2026 Medicare lab fee · Clinical Laboratory Fee Schedule
A semen analysis measuring specimen volume, sperm count, motility, and differential findings, typically reported during evaluation of male fertility.
Medicare pays $12.31 for 89320 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
$12.31
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
What 89320 covers
89320 reports laboratory evaluation of semen that includes specimen volume, sperm count, motility, and differential findings. It is commonly ordered in male fertility evaluations, including assessment when conception has been difficult. Clinical laboratories with andrology services perform the analysis, generally for urologists or reproductive-medicine clinicians reviewing semen and sperm characteristics.
Report 89320 when the analysis includes these elements, rather than a count-focused semen analysis, sperm-detection study, or strict-criteria analysis. Medicare pays the code through the CLFS only. The 2026 national CLFS amount is $12.31, unchanged since 2020; one amount applies nationwide, without geographic or office/facility adjustment. The service is excluded from 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 89320
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 89320. 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 89320 with status X (excluded by statute), so the test itself is paid only from the CLFS.
89320 on the lab fee schedule since 2020
89320 · CLFS 2026 Q4 (current)
$12.31
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.
89320 compared with similar tests
- 89310Semen analysisMotility and count$8.61
- Choose 89310 for the count-focused semen analysis. 89320 also evaluates volume, motility, and differential findings.
- 89300Semen analysisIncludes postcoital testing$9.84
- 89300 is associated with the postcoital Huhner test; 89320 reports a broader semen analysis.
- 89321Semen analysisSperm presence and motility$12.05
- 89321 is a sperm-detection study, while 89320 evaluates semen volume, count, motility, and differential findings.
- 89322Semen analysisStrict morphology criteria$15.50
- 89322 is the strict-criteria semen analysis. Use 89320 for analysis of volume, count, motility, and differential findings.
89320 billing questions
How does 89320 differ from 89310?
89320 evaluates volume, count, motility, and differential findings. 89310 is the count-focused semen analysis.
What findings does 89320 cover?
The analysis evaluates semen volume, sperm count, motility, and differential findings.
Is 89320 paid under the physician fee schedule?
No. Medicare pays 89320 through the CLFS only.
Does the CLFS amount vary by locality or setting?
No. Medicare uses one national amount for this code across localities, without an office or facility adjustment.
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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