58323
Sperm washing
Code typePrimary
Payment statusActive (A)
Global period0-day
Whole-Procedure Pricing
Line
Qty
Global fee
Pro fee
Primary58323Sperm washing
1
$14.70
$10.35
RVU Breakdown
Component
Office
Facility
Work
0.22
0.22
Practice expense
0.18
0.05
Malpractice
0.04
0.04
Total RVU
0.44
0.31
Payment Policy & Modifiers
Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Bilateral -50Co-surgeon -62Team surgeon -66Prof / tech split