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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Hemic and Lymphatic Systems |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 38589 |
| Medicaid Fee Schedule | View Medicaid rates for 38589 |
National average reimbursement for CPT 38589 by major payers:

$1,333.91

$141.58

$1,725.00

$1,151.69
Choose a payer to see a sample of rates for CPT 38589.
The Emory Clinic Inc, The Emory Clinic Lagrange Surgery Center
Emory University
Pierce Street Same Day Surgery, Lc, Pierce Street Same Day Surgery, Lc
Pierce Street Same Day Surgery
Fresenius Vascular Care Cincinnati Asc LLC, Azura Surgery Center Cincinnati
Fresenius Vascular Care Cincinnati Asc LLC
Barnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
Laser And Vision Surgery Center, LLC
Laser And Vision Surgery Center LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 38589 vs. Other Surgical Procedures on the Hemic and Lymphatic Systems Codes
The CPT 38589 code is part of the Surgery services used for Surgical Procedures on the Hemic and Lymphatic Systems. 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 38589 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 |
|---|---|---|
| 38589-CPT | High | Unlisted Laparoscopy Proc Lymphatic System, Unlisted Laparoscopy Procedure Lymphatic System |
| 38700-CPT | High | Suprahyoid Lymphadenectomy |
| 38746-CPT | Moderate | Thoracic Lymphadenectomy By Th, Thoracic Lymphadenectomy By Thoracotomy Mediastinal And Regional Lymphadenectomy (List Separately In Addition To Code For Primary Procedure) |
| 38900-CPT | Moderate | Sentinel Lymph Node Procedure, Intraoperative Identification (Eg Mapping) Of Sentinel Lymph Node(S) Includes Injection Of Non-Radioactive Dye When Performed (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 38589. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 38589 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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