$78.01
58323 is specimen preparation. Use 58321 for the insemination when the prepared sperm is placed by the intracervical route.
On this page
CMS RVU26D · Effective 2026-10-01
58323 Sperm washing Medicare reimbursement rates in Kentucky
Reports laboratory preparation of a semen specimen by washing and concentrating sperm for use in an artificial insemination procedure. Compare 58323 office and facility rates across CMS payment localities in Kentucky.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 58323 in Kentucky?
Kentucky has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$13.92
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$10.06
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Reproductive medicine
About 58323: Sperm washing for insemination
Reports laboratory preparation of a semen specimen by washing and concentrating sperm for use in an artificial insemination procedure.
Sperm washing processes a semen specimen to separate sperm from seminal fluid and other material and concentrate sperm for insemination. Fertility laboratory personnel typically prepare the specimen for a reproductive endocrinologist or other clinician performing artificial insemination in a fertility clinic or related setting. The washing service prepares the sample; it does not describe placing it in the reproductive tract.
Report 58323 when sperm washing is performed for artificial insemination, supported by documentation of the specimen preparation and its intended use. When insemination is also performed, report the applicable insemination service separately; same-session multiple-procedure payment reduction may apply, with the highest-valued procedure paid in full and other procedures reduced. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 58323
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.22 · 50%
- Practice expense (office) RVU0.18 · 41%
- Malpractice RVU0.04 · 9%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
58323 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$86.68
58323 is specimen preparation. Use 58322 for the insemination when the prepared sperm is placed by the intrauterine route.
Compare 58323 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kentucky →
Office / nonfacility
$13.92
Facility
$10.06
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 58323 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,544
- Code
- 58323
- Physician work
- 0.22
- Practice expense
- 0.18
- Malpractice
- 0.04
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.22 | × 1.000 | 0.2200 |
| Practice expense | 0.18 | × 0.889 | 0.1600 |
| Malpractice | 0.04 | × 0.915 | 0.0366 |
| Total RVUs | 0.4166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$13.92
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.22 | 1 |
| Practice expense | 0.18 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.22 × 1 + 0.18 × 0.889 + 0.04 × 0.915) × $33.4009 = $13.92
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.22 | 1 |
| Practice expense | 0.05 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.22 × 1 + 0.05 × 0.889 + 0.04 × 0.915) × $33.4009 = $10.06
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
58323 billing questions
How is 58323 different from 58321 or 58322?
58323 covers washing the sperm specimen. Codes 58321 and 58322 describe the insemination route: intracervical and intrauterine, respectively.
Can 58323 be reported with an insemination code?
When sperm washing and insemination are both performed and documented, report 58323 for preparation and the applicable code for the insemination. Same-session multiple-procedure payment reduction may apply.
What documentation supports 58323?
Document that a semen specimen was washed and prepared for artificial insemination. The record should distinguish this preparation from the insemination procedure itself.
Should modifier 50 be appended?
No. Bilateral adjustment is not appropriate for this service, so modifier 50 should not be used.
What is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,54158301,,Remove intrauterine device,A,,1.24,1.89,,0.28,,0.21,3.34,1.73,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54258321,,Artificial insemination,A,,0.90,1.45,,0.19,,0.16,2.51,1.25,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54358322,,Artificial insemination,A,,1.07,1.52,,0.23,,0.19,2.78,1.49,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54458323,,Sperm washing,A,,0.22,0.18,,0.05,,0.04,0.44,0.31,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54558340,,Catheter for hysterography,A,,0.86,6.09,,0.56,,0.14,7.09,1.56,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54658345,,Reopen fallopian tube,A,,4.58,2.25,NA,2.25,,0.81,7.64,7.64,0,010,0.10,0.80,0.10,2,1,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,54758346,,Insert heyman uteri capsule,A,,7.37,4.62,NA,4.62,,0.58,12.57,12.57,0,090,0.12,0.74,0.14,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631