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Semen Analysis, Routine

Semen Analysis, Routine

Epic Mnemonic
Sunquest Mnemonic

LAB218
SEMAN

Category

Urinalysis

Test Performance Schedule

Monday – Friday 6 a.m. – 7 p.m.

Excludes Holidays

Result Availability

Within 24 hours

Specimen Required

Container

Sterile plastic container with tightly fitting lid

Volume

Pref. Vol.: Entire ejaculate

Collection Instructions

• Patient should collect semen specimen within 30 minutes before arrival at testing site
• Condoms, even when thoroughly washed or rinsed, contain spermicidal agents and must not be used for specimen collection
• Patient must complete Semen Analysis Information form and submit with specimen


SEMEN ANALYSIS COLLECTION INSTRUCTIONS AND PATIENT INFORMATION FORM

Transportation Instructions

• Maintain semen specimen at constant temperature no lower than 75°F or higher than 95°F
• Specimen container taped to body during transport by patient usually ensures acceptability

Causes for Rejection

Received more than 30 minutes after collection

Remarks

Patient Preparation:
No ejaculation for 2-7 days prior to specimen collection unless physician specifies otherwise

 

Includes:

• Total Spermatozoa Count
• Percent Motile Spermatozoa

• Spermatozoa viability (if <40% total motility)

• Sperm morphology (% Normal forms)
• Volume

• Liquefaction time
• Viscosity

CPT Codes

89320

Effective/Revised

05/23/2019


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