Test Code SEMENSCRN Semen Analysis
Additional Codes
St. Luke's Compendium Code (Iatric): L100.4551
Performing Laboratory
St. Lukes Hospital Laboratory
Methodology
Manual
Specimen Requirements
Specimen must arrive within 30 minutes of collection and by 1300.
Collect specimen using a clean, dry container as follows:
1. Patient should have 2 to 5 days of sexual abstinence.
2. Entire ejaculate is best collected by masturbation. (Specimen collected in a condom is not acceptable.)
3. Label container with patient’s name (first and last) and date and actual time of collection.
4. Specimen should be maintained at body temperature.
Note: Complete an “Orders for Fertility Lab Services” form in “Request Forms” in “Special Instructions,” and forward it with the specimen.
Reference Values
Appearance: normal
Volume: 2.0-5.0 mL
pH: 7.2-8.0
Motile/mL: ≥10 x 106
Sperm/mL: ≥20 x 106
Motility: ≥50%
Grade: ≥3
% Normal: 15-100
Fructose: positive
Day(s) Test Set Up
Monday through Friday
Saturday, Sunday (with prior approval)
Test Classification and CPT Coding
89310