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See a sample rate comparisonCPT 39499 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.
Chest Procedure, Other Procedure On Chest Cavity Below Breast Bone
| 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 RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 39499 |
| Medicaid Fee Schedule | View Medicaid rates for 39499 |
National average reimbursement for CPT 39499 by major payers:
$1,236.57
$241.26
$1,633.33
$993.86
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CPT 39499
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$11,123.00Published rateSummit Ambulatory Surgical Center, LLC
$1,274.00Published rateScottsdale Multispecialty Surgery Center, Paradise Valley Multi Specialty Surgery Center
Scottsdale Multispecialty Surgery Center
$890.00Published rateEast Fort Lauderdale Asc LLC, Ft. Lauderdale Heart & Rhythm Surgery Center
East Fort Lauderdale Asc LLC
$585.00Published rateEndo Surgi Center Of Old Bridge LLC
Endo-Surgi Center Of Old Bridge, LLC
$104.00Published rate
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See a sample payer proposalCPT 39499 vs. Other Surgical Procedures on the Mediastinum and Diaphragm Codes
The CPT 39499 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 39499 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 |
|---|---|---|
| 38999-CPT | High | Unlisted Proc Hemic Or Lymphatic System, Unlisted Procedure Hemic Or Lymphatic System |
| 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 |
| 39499-CPT | High | Chest Procedure, Other Procedure On Chest Cavity Below Breast Bone |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 39499. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 39499 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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