CPT 83001 · FSH + Testosterone Workup
83001 is FSH and 84403 is total testosterone, the two hormones the AUA/ASRM guideline orders first after a low count. LH (83002), prolactin (84146) and estradiol (82670) round out the panel. Here's what each covers and how to get all five drawn at any Quest.
Hera's male fertility hormone panel is $99 all-in: a physician order for the five tests, a blood draw at any Quest Diagnostics location, and nothing to pay at the lab. Order first, no location to pick. Within one business day we place the order with Quest and send you the go-ahead; then book a morning slot at any Quest.
$99 all-in for all five tests at any Quest · physician order included · nothing to pay at the lab
CPT 83001 is follicle-stimulating hormone (FSH), the pituitary signal that drives sperm production. A high FSH with a low count means the testicles themselves are underperforming; a low or normal FSH with a low count points upstream, to the pituitary or hypothalamus, or to outside testosterone shutting the system down. CPT 84403 is total testosterone, drawn in the morning because levels fall through the day. The guideline names these two as the first-line hormone evaluation for any man with a low count, no sperm, low libido or erectile dysfunction.
The other three codes answer the follow-up questions. CPT 83002 (LH) separates a testicular cause from a pituitary one when testosterone is low. CPT 84146 (prolactin) catches the treatable pituitary cause of low testosterone and low libido. CPT 82670 (estradiol) matters when testosterone is low, before clomiphene or an aromatase inhibitor, or with gynecomastia or a high BMI. Ordering all five on one draw avoids a second visit, which is why Hera's panel bundles them.
1. Order the panel: $99, no location to choose. Hera's physician signs an order for all five tests (83001, 84403, 83002, 84146, 82670) and within one business day we place it in Quest's system and text or email you the go-ahead.
2. Book a morning slot at any Quest Diagnostics location (appointment.questdiagnostics.com) and go in before 10 a.m. Bring a photo ID. No insurance card: the tests are billed to Hera's account with Quest, so there is nothing to pay at the lab.
3. Results come back to Hera in about 2 to 4 business days. We send them to you with the reference ranges and what an out-of-range value usually means, and point you to the right next step if something is off.
Five tests, one morning draw at any Quest, $99 all-in. Already had a semen analysis? Upload it first and the report tells you whether your numbers meet the guideline's threshold for hormone testing.
Order the hormone panel — $99 at any Quest Upload your semen analysis firstA hormone panel is billed as one CPT line per analyte, so a five-test panel is five lines. If you are checking a bill, comparing a quote, or bringing an outside order to Quest, these are the codes to look for.
| Code | What it covers |
|---|---|
| 83001 (On a Hera order) | Follicle-stimulating hormone (FSH) — the first-line hormone in the guideline, a direct read on sperm production. |
| 84403 | Total testosterone — the other first-line hormone; drawn in the morning. |
| 83002 | Luteinizing hormone (LH) — added when testosterone is low, to tell a testicular from a pituitary cause. |
| 84146 | Prolactin — added when testosterone is low or libido is reduced. |
| 82670 | Estradiol — added when testosterone is low or a medication like an aromatase inhibitor is being considered. |
| 84402 | Free testosterone — sometimes added when total testosterone is borderline. |
| 84270 | Sex hormone-binding globulin (SHBG) — used to interpret a borderline testosterone. |
| Code | What it covers |
|---|---|
| N46.9 (On a Hera order) | Male infertility, unspecified — the usual code when an abnormal semen analysis triggers hormone testing. |
| N46.11 | Organic oligospermia — low sperm count on a previous analysis. |
| N46.01 | Organic azoospermia — no sperm on a previous analysis. |
| E29.1 | Testicular hypofunction — low testosterone from the testicles themselves. |
| E22.1 | Hyperprolactinemia — high prolactin, a treatable cause of low testosterone. |
| R68.82 | Decreased libido — one of the guideline's triggers for hormone testing. |
Whether insurance pays follows the diagnosis code: N46.9, N46.11 or N46.01 inside an infertility workup is often covered, E29.1 (low testosterone) usually is, and Z31.41 fertility testing frequently is not. Hera's $99 panel is cash-pay by design, billed to Hera's Quest account and never to your insurance, so nothing shows up on an EOB.
CPT 83001 for FSH and 84403 for total testosterone are the first-line pair in the AUA/ASRM guideline. LH is 83002, prolactin 84146 and estradiol 82670. Hera's panel orders all five on one draw; free testosterone (84402) and SHBG (84270) are add-ons some urologists use for a borderline result.
For infertile men with a low sperm count, no sperm, reduced libido or erectile dysfunction: FSH and testosterone first, other hormones based on the findings (Expert Opinion). A normal semen analysis with none of those symptoms does not call for a hormone panel, which is why the semen analysis comes first.
Testosterone peaks early and can fall by a third through the afternoon, so labs set the reference range on samples drawn before about 10 a.m. A single low result should be repeated on another morning before anyone acts on it.
That the testicles are not responding normally to the pituitary's signal, so production itself is impaired (primary testicular failure). With azoospermia and a high FSH, the guideline moves to karyotype and Y-chromosome microdeletion testing and to a discussion of surgical sperm retrieval rather than medication.
That the signal from the pituitary is weak (secondary hypogonadism). Causes include outside testosterone or steroids, high prolactin, obesity and pituitary problems. This is the pattern that medications such as clomiphene or hCG can treat while preserving sperm production; testosterone replacement would do the opposite.
Often, when billed with an infertility or low-testosterone diagnosis, though many plans exclude fertility testing. Hera's $99 panel is billed to Hera's Quest client account and never to your insurance, so there is no claim, no EOB and nothing to pay at the lab.
Cash prices for the five tests run roughly $100 to $250 at direct-to-consumer labs and more through a clinic visit. Hera's panel is $99 all-in at any Quest, physician order included.
Yes, though the guideline reaches for it after an abnormal semen analysis or with symptoms. If you have not tested yet, a semen analysis through Hera is the better first step; if your count is low, order the panel next and read the two together.