Semen Post-Vasectomy check

Test Code

SEMENPV

Preferred Specimen

Specimen is produced by masturbation.

The entire ejaculate must be collected in a clean screw-cap container provided by the laboratory or physician’s office

Alternatively, specimen may be collected by coitus interruptus and delivered to lab within 30 minutes of collection.

Patient Preparation
Patient should be abstinent for 2-3 days prior to collection. Provide patient with copy of “Instructions for collection of semen for analysis”.

Minimum Volume

A minimum volume of 1mL of semen is required.

Specimen Stability

Storage Temperature: Ideally, the specimen should be kept warm and brought to the lab immediately. However, any semen specimen is acceptable. Ask the patient when the specimen was collected and document in the computer.
Stability after Collection: 24 hours
Sample Retention: 24 hours

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Specimen is received >24 hours after collection.
Specimen is collected in a condom.

Limitations

Method Limitations • Sperm may be missed if liquification is not complete or sample is not well-mixed. • This procedure is limited to post-vasectomy only. If semen analysis for fertility workup is ordered (to include sperm count, motility, etc), refer to closest reference lab that performs full semen analysis.

Reference Range

Reference Intervals
Sperm: Absent
Motility: Non-motile

Clinical Significance

Post vasectomy semen checks are performed monthly to determine when sterilization is complete. A patient is considered sterile when two sperm checks, performed on samples collected a month apart, are negative for the presence of sperm cells.

The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.