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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Percutaneous Tissue Displacement Procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 1023T |
National average reimbursement for CPT 1023T by major payers:

$321.69

$N/A

$1,481.26

$N/A
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Rate Benchmarking
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See a sample payer proposalCPT 1023T vs. Other Percutaneous Tissue Displacement Procedures Codes
The CPT 1023T code is part of the Category III Codes services used for Percutaneous Tissue Displacement Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 1023T code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 1023T-CPT | Moderate | Prq Tis Dsplmt Intrathoracic, Percutaneous Tissue Displacement Any Method Including Imaging Guidance; Intrathoracic Structures (List Separately In Addition To Code For Primary Procedure) (Use 1023t In Conjunction With 20982 20983 32400 32408 32553 32554 32555 32556 32557 32994 32998 49405) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1023T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1023T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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