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See a sample rate comparisonCPT 39000 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.
Mediastinotomy With Exploratio, Mediastinotomy With Exploration Drainage Removalofforeign Body Or Biopsy Cervical Approach Med Iastinotomy With Exploration Drainage Removal Of
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Mediastinum and Diaphragm |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $492.00 national non-facility rate (2026) · View Medicare rates for 39000 |
| Medicaid Fee Schedule | $385.845 median of the 8 states in the free preview · View Medicaid rates for 39000 |
National average reimbursement for CPT 39000 by major payers:
$617.80
$652.27
$644.46
$807.68
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CPT 39000
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Beltway Surgery Center Springmill
$7,400.00Published rateYork County Endoscopy Center LLC
$1,167.00Published rateSurgery Center At South Ogden, LLC
Surgery Center At South Ogden LLC
$840.00Published rateTri-Cities Endoscopy Center PC, The Center For Digestive Wellness
Tricities Endoscopy Center PC
$350.00Published rateChildren'S Surgery Center Of Philadelphia LLC, Children'S Dental Surgery Of Philadelphia
Childrens Surgery Center Of Philadelphia LLC
$170.00Published rate
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See a sample payer proposalCPT 39000 vs. Other Surgical Procedures on the Mediastinum and Diaphragm Codes
The CPT 39000 code is part of the Surgery services used for Surgical Procedures on the Mediastinum and Diaphragm. 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 39000 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 |
|---|---|---|
| 38794-CPT | Moderate | Cannulation Thoracic Duct |
| 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) |
| 39000-CPT | Moderate | Mediastinotomy With Exploratio, Mediastinotomy With Exploration Drainage Removalofforeign Body Or Biopsy Cervical Approach Med Iastinotomy With Exploration Drainage Removal Of |
| 39010-CPT | High | Mediastinotomy With Exploratio, Mediastinotomy With Exploration Drainage Removalofforeign Body Or Biopsy Transthoracic Approach Including Either Transthoracic Or Median Sternotomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 39000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 39000 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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