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See a sample rate comparisonCPT 39599 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.
Diaphragm Surgery Procedure, Other Procedure On Muscle Separating Chest And Abdominal Cavities
| 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 24 - Ambulatory Surgical Center |
| Common Modifiers | AS - PA/NP/CNS assistant at surgery 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 39599 |
| Medicaid Fee Schedule | View Medicaid rates for 39599 |
National average reimbursement for CPT 39599 by major payers:
$901.73
$254.59
$3,115.00
$1,545.47
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CPT 39599
5 of 25 sample ratesHigher to lower in this preview
Conroe Surgery Center 2, LLC
Conroe Surgery Center 2 LLC
$4,893.00Published ratePhysicians Outpatient Surgery Center LLC
$874.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$565.00Published rateProcedure Center Of Irvine Inc., Procedure Center Of Irvine
Procedure Center Of Irvine Inc
$483.00Published rateFredericksburg Endoscopy Center, LLC
Fredericksburg Endoscopy Center LLC
$253.00Published rate
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See a sample payer proposalCPT 39599 vs. Other Surgical Procedures on the Mediastinum and Diaphragm Codes
The CPT 39599 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 39599 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 |
|---|---|---|
| 39545-CPT | High | Repair Of Diaphragm Hernia, Surgery To Repair An Opening In The Diaphragm That Has Allowed Abdominal Organs To Protrude Into The Upper Chest. The Organs Are Pushed Back Into Place And The Stretched Diaphragm Stitched Back To Its Proper Size. |
| 39560-CPT | Moderate | Partial Diaphragm Removal, Surgery To Remove A Portion Of The Diaphragm. The Remaining Sections May Be Sewn Together Or Patched With A Muscle Graft. |
| 39561-CPT | High | Partial Diaphragm Removal, Surgery To Remove A Portion Of The Diaphragm. The Remaining Sections May Be Sewn Together Or Patched With A Muscle Graft. |
| 39599-CPT | Moderate | Diaphragm Surgery Procedure, Other Procedure On Muscle Separating Chest And Abdominal Cavities |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 39599. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 39599 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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