SAI
General Information
HLAB/HOL Code: SAI
UPHSM LIS Test #: 350
Schedule: Monday-Friday
Testing Time: 2 -3 days
Testing Lab: UP Health System-Marquette
UPHSM LIS Test #: 350
Schedule: Monday-Friday
Testing Time: 2 -3 days
Testing Lab: UP Health System-Marquette
Specimen Info
Only 1 specimen type required, unless otherwise specified
Volume: 1ml
Temperature: 37 C
Tube Type: semen
Collection Info:
1. Proper collection is vital to ensure the optimal specimen
2. Masturbation is the ONLY acceptable method of specimen collection. The entire ejaculate must be collected into the plastic cup
provided. Latex and lubricants are toxic to sperm.
3. The optimal place for collection is at the Laboratory
4. Sample needs to arrive at the laboratory 30 minutes post collection and kept at body temperature.
5. Samples should be collected after a minimum of 2 days and a maximum of 7 days of sexual abstinence.
6. Make sure your name, date of birth, date and time of collection are written on the cup.
7. A brief questionnaire needs to be filled out at the laboratory, or can be printed off the website and accompany the sample.
8. You will also need a copy of the Dr.’s orders
Temperature: 37 C
Tube Type: semen
Collection Info:
1. Proper collection is vital to ensure the optimal specimen
2. Masturbation is the ONLY acceptable method of specimen collection. The entire ejaculate must be collected into the plastic cup
provided. Latex and lubricants are toxic to sperm.
3. The optimal place for collection is at the Laboratory
4. Sample needs to arrive at the laboratory 30 minutes post collection and kept at body temperature.
5. Samples should be collected after a minimum of 2 days and a maximum of 7 days of sexual abstinence.
6. Make sure your name, date of birth, date and time of collection are written on the cup.
7. A brief questionnaire needs to be filled out at the laboratory, or can be printed off the website and accompany the sample.
8. You will also need a copy of the Dr.’s orders
Methods
Microscopic
Clinical Utilities
Infertility investigation. Includes volume, viscosity, pH, motility, count, normal forms, by Kruger-Strict criteria, and total # of sperm and motile sperm. If a zero sperm count is obtained, a "Semen fructose, semen" will automatically be ordered and performed.
CPT Codes
89320
* The CPT codes provided 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 payer being billed.
