Test Code WASHCOUNT Semen Wash with Counts
Additional Codes
St. Luke's Compendium Code (Iatric): L100.4566
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 and send it with the specimen.
Reference Values
Pre Wash Count: Sperm/mL: ≥20 x 106
Pre Wash Motility: ≥50%
Pre Wash Grade: ≥3
Post Wash Count: Sperm/mL: ≥20 x 106
Post Wash Motility: ≥50%
Post Wash Grade: ≥3
Day(s) Test Set Up
Monday through Friday
Saturday, Sunday (with prior approval)
Test Classification and CPT Coding
89260
Useful For
Preparation of semen sample for intrauterine insemination.