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See a sample rate comparisonCPT 89220 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.
Sputum (Mucus) Collection, Collection Of Mucus From The Lower Part Of The Lungs Done By Inhaling A Saline Solution Mist That Causes A Person To Cough.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Other Pathology and Laboratory Procedures |
| Common Place of Service | 11 - Office 71 - Public Health Clinic |
| Common Modifiers | TC - Technical component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $21.04 national non-facility rate (2026) · View Medicare rates for 89220 |
| Medicaid Fee Schedule | $16.98 median of the 8 states in the free preview · View Medicaid rates for 89220 |
National average reimbursement for CPT 89220 by major payers:
$21.52
$10.52
$17.28
$27.00
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CPT 89220
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$43.32Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$24.46Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$11.73Published rateCatherine Lee
Columbus Arthritis Center
$8.59Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$6.54Published rate
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See a sample payer proposalCPT 89220 vs. Other Other Pathology and Laboratory Procedures Codes
The CPT 89220 code is part of the Pathology and Laboratory Procedures services used for Other Pathology and Laboratory Procedures. 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 89220 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 |
|---|---|---|
| 89050-CPT | Low | Analysis Of Body Fluid, This Analysis Usually Looks At Body Fluid From The Spine Or A Joint. Numbers Of Each Type Of Cell That Is Present Are Counted Often To Check For An Infection In The Area Near The Sample. |
| 89060-CPT | Low | Identify Crystals In Specimen, This Analysis Method Identifies Crystals In A Fluid Sample. The Sample Can Be Blood Urine Spinal Fluid Or Fluid Taken From A Site Such As A Swollen Joint. This Testing Method Identifies Conditions Such As Gout And Pseudogout. |
| 89220-CPT | Low | Sputum (Mucus) Collection, Collection Of Mucus From The Lower Part Of The Lungs Done By Inhaling A Saline Solution Mist That Causes A Person To Cough. |
| 89230-CPT | Low | Sweat Collection Test, The Test Aids In Diagnosis Of Cystic Fibrosis (Cf). Chloride Is Introduced Into The Skin By Low-Level Electric Charge. Sweat Is Collected By Absorbent Pads Taped To The Skin. People With Cf Will Have High Amounts Of Salt In Their Sweat. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89220 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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