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See a sample rate comparisonCPT 39220 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Remove Mass Or Cyst From Chest, Surgery To Remove A Tumor (Abnormal Tissue Or Growth) Or Cyst (Pocket Of Fluid) From Within The Chest.
| 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 | AS - PA/NP/CNS assistant at surgery 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | $1,067.83 national non-facility rate (2026) · View Medicare rates for 39220 |
| Medicaid Fee Schedule | $851.525 median of the 8 states in the free preview · View Medicaid rates for 39220 |
National average reimbursement for CPT 39220 by major payers:
$1,432.21
$1,506.96
$1,523.25
$1,833.41
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CPT 39220
5 of 25 sample ratesHigher to lower in this preview
Physicians Surgery Services Lp, Advanced Surgery Center
Physician Surgery Services L.P.
$1,377.00Published rateAdvanced Surgery Center Of Sarasota, LLC
Advanced Surgery Center Of Sarasota LLC
$1,028.00Published rateSurgery Center Of Zachary, LLC
$556.00Published rateNew Orleans La Uptown West Bank Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Terapeutic Center
$398.00Published rateLake Bluff Il Endoscopy Asc LLC, North Shore Endoscopy
Lake Bluff Il Endoscopy Asc LLC
$109.00Published rate
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See a sample payer proposalCPT 39220 vs. Other Surgical Procedures on the Mediastinum and Diaphragm Codes
The CPT 39220 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 39220 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 |
|---|---|---|
| 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) |
| 39200-CPT | High | Remove Mass Or Cyst From Chest, Surgery To Remove A Tumor (Abnormal Tissue Or Growth) Or Cyst (Pocket Of Fluid) From Within The Chest. |
| 39220-CPT | High | Remove Mass Or Cyst From Chest, Surgery To Remove A Tumor (Abnormal Tissue Or Growth) Or Cyst (Pocket Of Fluid) From Within The Chest. |
| 39402-CPT | Moderate | Exam Of Chest With Scope, Exam Of The Inside Of The Chest Aided By A Scope (Mediastinoscopy). The Procedure May Include Removing A Sample Of Tissue For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 39220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 39220 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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