CPT® Code 89331

The CPT® Code 89331 refers to a sperm evaluation specifically conducted for retrograde ejaculation using a urine specimen. Retrograde ejaculation is a medical condition characterized by the abnormal flow of semen, where instead of being expelled through the urethra during ejaculation, semen enters the bladder. This condition is relatively uncommon and can be associated with various factors, including diabetes, certain medications, or prior urinary tract procedures that may affect the normal ejaculation process. The evaluation involves collecting a urine sample after sexual climax, which allows for the assessment of sperm concentration, motility, and morphology. Sperm concentration refers to the number of sperm present in the urine, while motility assesses the percentage of sperm that are actively moving and demonstrating good forward motion. Additionally, a morphological examination is performed to evaluate the structure of the sperm, distinguishing between normal and abnormal forms. This comprehensive analysis is crucial for diagnosing retrograde ejaculation and understanding its potential causes and implications for male fertility.