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HelpTest Code SMQN Semen Analysis, Quantitative
Performing Laboratory
Lima Memorial Health System Laboratory
Specimen Requirements
Container/Tube: Screw-capped, sterile container
Minimum Volume: Total ejaculate
Collection Instructions:
1. Patient should practice 2 to 7 days of sexual abstinence before semen collection for accurate results.
2. Forward promptly at as close to body temperature as possible.
3. Specimens are accepted from 6am to 6pm Monday thru Friday.
Special Instructions
Semen Analysis - Quantitative Collection Instructions/Questionnaire
Reference Values
| Test | Reference Value |
|---|---|
| Appearance | Opaque |
| Volume | ≥1.50 ml |
| pH | >7.2 |
| Viscosity | Normal |
| Sperm Concentration | ≥15 m/ml |
| Total motile Sperm | ≥40% |
| Progressive Sperm | ≥32% |
| Non-progressive Sperm | N/A |
| Immotile Sperm | N/A |
| Normal Forms | ≥4% |
| Motile Sperm Concentration | ≥6 m/ml |
| Progressive Motile Sperm Concentration | ≥5 m/ml |
| Functional Sperm Concentration | N/A |
| Sperm Velocity | >5 mic/sec |
| Sperm Motility Index | >80 |
| Sperm # per Ejaculate | ≥39.0 M/ejac |
| Motle Sperm # per Ejaculate | >16.0 M/ejac |
| Progressive Motile Sperm # per Ejaculate | ≥12.0 M/ejac |
| Morphology Normal Sperm per Ejaculate | ≥2.0 M/ejac |
| WBC Concentration | <1 M/ml |
Specimen Stability
Ambient (body temperature): 1 Hour
Day(s) Test Set Up
Monday thru Friday 6AM-6PM
Methodology
Manual and Automated SQA-Vision Methods
Test Classification and CPT Coding
89322