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Test Code SEM-QL Semen, Qualitative

Useful For

Determining absence or presence of sperm post vasectomy.  This test code should be used when it has been more than 12 months after vasectomy procedure. 

Synonyms/Keywords

Post Vasectomy Check

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No Semen Sterile plastic container Sterile container 0.2 mL    

Collection/Processing Instructions

Recommend 3-5 days of abstinence. 

 

Marshfield Campus - Deliver immediately to the 24 Hour Services section.

 

All Other Facilities - Deliver immediately to Marshfield Labs. Refrigerate specimens older than 2 days.

Specimen Stability Information

Specimen Type Temperature Time
Semen Ambient 2 days
Refrigerate 1 week

Test Components

Sperm presence/absence

Reference Range Information

Performing Location Reference Range
Marshfield See interpretive report

Marshfield Labs Performing Department

Marshfield Labs Urinalysis

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Sunday 1 day Microscopy

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
89321        

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
89321        

Ordering Applications

Ordering Application Description
Cerner None