CPT 89290 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Pathology and Laboratory Procedures • Reproductive Medicine Procedures |
| Common Place of Service | • 11 - Office • 81 - Independent Laboratory • 24 - Ambulatory Surgical Center |
| Common Modifiers | • None • GA - Required ABN issued and on file • 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
National average reimbursement for CPT 89290 by major payers:
$669.41
$989.54
$879.30
$779.97
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 89290 | ||||||
United | 89290 | $2135.75 | 1194024877 - PAULA BRADY | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 89290 | $2014.85 | 1881089464 - ASHLEY WILTSHIRE | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 89290 | $756.27 | 1427174028 - ROBERT GRAEBE | 161671472 | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 89290 | $2225.12 | 1336189463 - ALAN BERKELEY | 135562308 - NEW YORK UNIVERSITY | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 89290 | $2096.20 | 1962434308 - EILEEN DEMARCO | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics Physician (207VX0000X) |
United | 89290 | $2073.54 | 1790014827 - LADIN YURTERI-KAPLAN | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician (207VF0040X) |
United | 89290 | $2075.31 | 1336309855 - RYALYNN CARTER | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89290 | $2075.31 | 1285084673 - TAL SARIG-METH | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89290 | $1947.50 | 1063735306 - COBBLE HILL WOMENS GYNECOLOGY FPP | 900539243 - (NY) COBBLE HILL GYNECOLOGY FPP / COBBLE HILL WOMENS GYNECOLOGY FPP | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89290 | $2014.85 | 1952705709 - SHINELLE CALDWELL | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89290 | $2014.85 | 1205865359 - KATARINA EISINGER | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | 89290 | $2096.20 | 1881089464 - ASHLEY WILTSHIRE | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 89290 | $2135.75 | 1982093365 - KARIMAH SMITH | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | 89290 | $2135.75 | 1285666974 - ANITA LASALA | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 89290 | $2014.85 | 1477759611 - JACLYN COLETTA LUCAS | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 89290 vs. Other Reproductive Medicine Procedures Codes
The CPT 89290 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 89290 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 |
|---|---|---|
| 89250-CPT | Moderate | Culture And Fertilization Of Oocyte(S) |
| 89251-CPT | Moderate | Culture And Fertilization Of Oocyte(S); With Co-Culture Of Embryos |
| 89280-CPT | Moderate | Assisted Oocyte Fertilization, Microtechnique; Less Than Or Equal To 10 Oocytes |
| 89290-CPT | Moderate | Biopsy, Oocyte Polar Body Or Embryo Blastomere, Microtechnique (For Pre-Implantation Genetic Diagnosis); Less Than Or Equal To 5 Embryos |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89290 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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