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See a sample rate comparisonCPT 3038F Fee Schedule
Last Verified: October 2026
Healthcare 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.
Pulmona Funct Test Perform Within 12 Mnths Prior To Surg (L, Pulmonary Function Test Performed Within 12 Months Prior To Surgery (L
| Key Fact | Detail |
|---|---|
| Service Type | Category II Codes Diagnostic/Screening Processes or Results |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 3038F |
National average reimbursement for CPT 3038F by major payers:
$67.91
$N/A
$2,826.00
$1.13
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CPT 3038F
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See a sample payer proposalCPT 3038F vs. Other Diagnostic/Screening Processes or Results Codes
The CPT 3038F code is part of the Category II Codes services used for Diagnostic/Screening Processes or Results. 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 3038F 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 |
|---|---|---|
| 3038F-CPT | Low | Pulmona Funct Test Perform Within 12 Mnths Prior To Surg (L, Pulmonary Function Test Performed Within 12 Months Prior To Surgery (L |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 3038F. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 3038F 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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