S4026 Procurement of donor sperm from sperm bank

Billable / valid for submission HCPCS Release 2026Q3

Short description: Procure donor sperm

Version history

Release	Valid from	Valid to	Description	Billable
2026Q3	2026-07-01	current	Procurement of donor sperm from sperm bank	yes

S4005 Interim labor facility global (labor occurring but not resulting in delivery)
S4011 In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development
S4013 Complete cycle, gamete intrafallopian transfer (gift), case rate
S4014 Complete cycle, zygote intrafallopian transfer (zift), case rate
S4015 Complete in vitro fertilization cycle, not otherwise specified, case rate
S4016 Frozen in vitro fertilization cycle, case rate
S4017 Incomplete cycle, treatment cancelled prior to stimulation, case rate
S4018 Frozen embryo transfer procedure cancelled before transfer, case rate
S4020 In vitro fertilization procedure cancelled before aspiration, case rate
S4021 In vitro fertilization procedure cancelled after aspiration, case rate
S4022 Assisted oocyte fertilization, case rate
S4023 Donor egg cycle, incomplete, case rate
S4024 Air polymer-type a intrauterine foam, per study dose
S4025 Donor services for in vitro fertilization (sperm or embryo), case rate
S4027 Storage of previously frozen embryos
S4028 Microsurgical epididymal sperm aspiration (mesa)
S4030 Sperm procurement and cryopreservation services; initial visit
S4031 Sperm procurement and cryopreservation services; subsequent visit
S4035 Stimulated intrauterine insemination (iui), case rate
S4037 Cryopreserved embryo transfer, case rate