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See a sample rate comparisonCPT 39501 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.
Diaphragm Wound Repair, Surgical Repair Of A Deep Tear (Laceration) In The Diaphragm. The Procedure Can Involve Use Of A Patch As Well As Stitches To Close The Tear.
| 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 23 - Emergency Room |
| Common Modifiers | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | $809.97 national non-facility rate (2026) · View Medicare rates for 39501 |
| Medicaid Fee Schedule | $636.165 median of the 8 states in the free preview · View Medicaid rates for 39501 |
National average reimbursement for CPT 39501 by major payers:
$1,054.36
$1,120.23
$1,157.87
$1,371.84
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CPT 39501
5 of 25 sample ratesHigher to lower in this preview
Northwest Regional Surgery Center, LLC
Northwest Regional Surgery Center LLC
$2,668.00Published rateSummit Ambulatory Surgical Center, LLC
$1,028.00Published rateIllinois Sports Medicine & Orthopedic Surgery Center, LLC
Illinois Sports Medicine And Orthopedic Surgery Center, LLC
$662.00Published rateSurgery & Laser Center At Professional Park LLC, Surgery & Laser Center At Professional Park LLC
Surgery Laser Center At Professional Park LLC
$414.00Published rateCastleman Surgery Center, LLC, Southgate Surgery Center
Castleman Surgery Center LLC
$97.00Published rate
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See a sample payer proposalCPT 39501 vs. Other Surgical Procedures on the Mediastinum and Diaphragm Codes
The CPT 39501 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 39501 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 |
|---|---|---|
| 38792-CPT | Low | Inject Proc; Radioactive Tracer For Id Of Sentinel, Injection Procedure; Radioactive Tracer For Identification Of Sentinel |
| 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) |
| 38999-CPT | High | Unlisted Proc Hemic Or Lymphatic System, Unlisted Procedure Hemic Or Lymphatic System |
| 39501-CPT | High | Diaphragm Wound Repair, Surgical Repair Of A Deep Tear (Laceration) In The Diaphragm. The Procedure Can Involve Use Of A Patch As Well As Stitches To Close The Tear. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 39501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 39501 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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