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See a sample rate comparisonHealthcare 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 24 - Ambulatory Surgical Center 81 - Independent Laboratory |
| Common Modifiers | LT - Left side of body QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 89335 |
National average reimbursement for CPT 89335 by major payers:

$150.00

$57.50

$231.75

$138.44
Choose a payer to see a sample of rates for CPT 89335.
Prisma Health-Midlands, Prisma Health Baptist Parkridge Hospital
Prisma Health-Midlands
St Lukes Community Development Corporation, St Lukes Sugar Land Hospital
St Lukes Community Development Corporation-Sugar Land
St Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
Homer Memorial Hospital, Claiborne Memorial Medical Center
Homer Memorial Hospital
Concordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
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Rate Benchmarking
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See a sample payer proposalCPT 89335 vs. Other Reproductive Medicine Procedures Codes
The CPT 89335 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 89335 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 |
|---|---|---|
| 89259-CPT | Low | Cryopreservation; Sperm |
| 89310-CPT | Low | Semen Analysis, A Semen Analysis Counts Sperm And Verifies That They Move Around In The Fluid. A Full Workup Can Include Examination Of Sperm Shape And The Direction In Which They Travel. The Semen Fluid Itself May Be Analyzed. |
| 89320-CPT | Low | Semen Analysis, A Semen Analysis Counts Sperm And Verifies That They Move Around In The Fluid. A Full Workup Can Include Examination Of Sperm Shape And The Direction In Which They Travel. The Semen Fluid Itself May Be Analyzed. |
| 89335-CPT | Low | Reproductive Tissue Storage, Reproductive Tissue Such As From A Testicle Or Ovary Is Cryopreserved (Frozen To Extremely Cold Temperatures) For The Purpose Of Preserving And Storing The Tissue For Future Use. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89335. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89335 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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