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See a sample rate comparisonCPT 89280 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.
In Vitro Fertilization, Ova (Human Eggs) Are Fertilized In A Lab Setting. Individual Sperm Are Injected Into Each Oocyte (Human Egg) Using Micro-Techniques.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Reproductive Medicine Procedures |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 89280 |
National average reimbursement for CPT 89280 by major payers:
$971.07
$1,101.26
$710.75
$1,099.06
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CPT 89280
5 of 25 sample ratesHigher to lower in this preview
Rachel Mcconnell
Columbia University In The City Of New York
$2,157.26Published rateHemashi Perera
Columbia University In The City Of New York
$2,014.85Published rateLisa Kump-Checchio
New York University
$1,791.13Published rateRachel Webster
First Choice Physician / Maimonides Faculty Practice Plan / Maimonides Medical Center Maimonides Primary Care Fpp
$1,394.84Published rateMelissa Yih
Institute For Reproductive Medicine And Science At Saint Barnabas
$954.00Published rate
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See a sample payer proposalCPT 89280 vs. Other Reproductive Medicine Procedures Codes
The CPT 89280 code is part of the Pathology and Laboratory Procedures services used for Reproductive Medicine 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 89280 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 |
|---|---|---|
| 89253-CPT | Moderate | Fertility Procedure, Laboratory Procedure To Help Induce A Pregnancy Through In-Vitro Fertilization Or Another Infertility Treatment Technique. |
| 89280-CPT | Moderate | In Vitro Fertilization, Ova (Human Eggs) Are Fertilized In A Lab Setting. Individual Sperm Are Injected Into Each Oocyte (Human Egg) Using Micro-Techniques. |
| 89281-CPT | High | In Vitro Fertilization, Ova (Human Eggs) Are Fertilized In A Lab Setting. Individual Sperm Are Injected Into Each Oocyte (Human Egg) Using Micro-Techniques. |
| 89290-CPT | Moderate | Egg Or Embryo Cell Analysis, The Analysis Examines A Single Cell From A Human Egg Or Embryo For Genetic Traits And Disorders. The Testing Is Done When There Is A Family History Or When Assisted Reproduction Is Experiencing Difficulties. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89280 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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