CPT code 89322: Semen analysis, strict morphology criteria2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Semen analysis measuring volume, sperm count, and motility with strict-criteria morphology, reported when a reproductive evaluation requires this combined assessment.
Medicare pays $15.50 for 89322 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
$15.50
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 89322 covers
This laboratory evaluation measures semen volume, sperm count, and motility, and assesses sperm morphology using strict criteria. It is performed on an ejaculate in a clinical laboratory; the combined assessment is used in reproductive and male fertility evaluations. The strict-morphology element distinguishes this test from semen evaluations that report volume, count, and motility without that criterion.
Report 89322 when the semen evaluation includes these measurements and strict-criteria morphology. Medicare pays this laboratory test only through the Clinical Laboratory Fee Schedule (CLFS), not the physician fee schedule. The 2026 national CLFS amount is $15.50, unchanged since 2020. One national amount applies across states and localities, with no geographic adjustment or 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 89322
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 89322. 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 89322 with status X (excluded by statute), so the test itself is paid only from the CLFS.
89322 on the lab fee schedule since 2020
89322 · CLFS 2026 Q4 (current)
$15.50
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.
89322 compared with similar tests
- 89320Semen analysisVolume, count, motility, differential$12.31
- 89320 covers semen volume, count, and motility. Choose 89322 when the evaluation also includes morphology assessed using strict criteria.
- 89310Semen analysisMotility and count$8.61
- 89310 is a semen analysis centered on sperm count. Code 89322 represents the combined evaluation of volume, count, motility, and strict-criteria morphology.
- 89325Sperm antibody$10.67
- 89325 is a sperm antibody test, not a routine semen analysis. Use it for antibody assessment rather than to represent the measurements and morphology in 89322.
89322 billing questions
When should 89322 be selected instead of 89320?
Use 89322 when the semen evaluation includes strict-criteria morphology along with volume, count, and motility. Code 89320 describes semen volume, count, and motility.
Does 89322 include sperm count and motility?
Yes. The evaluation includes semen volume, sperm count, motility, and strict-criteria morphology.
Is 89322 paid under the physician fee schedule?
No. Medicare pays 89322 only through the CLFS.
Does Medicare payment for 89322 vary by locality or setting?
No. One national CLFS amount applies across states and localities, with no 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
Fee sheets · Coming soon
Put 89322 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist