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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 81 - Independent Laboratory |
| Common Modifiers | 99 - Multiple Modifiers GA - Required ABN issued and on file |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 89342 |
National average reimbursement for CPT 89342 by major payers:

$317.26

$205.01

$185.82

$747.59
Choose a payer to see a sample of rates for CPT 89342.
Karin Fuchs
Columbia University In The City Of New York
Roxana Guerra
Columbia University In The City Of New York
Eileen Demarco
Columbia University In The City Of New York
Antoni Duleba
Reproductive Partners Medical Group La Jolla Inc
Natchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
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Rate Benchmarking
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See a sample payer proposalCPT 89342 vs. Other Reproductive Medicine Procedures Codes
The CPT 89342 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 89342 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 |
|---|---|---|
| 89337-CPT | Moderate | Cold Storage Of Egg Cells, Preserve Egg Cell By Freezing (Cryopreservation). |
| 89342-CPT | Moderate | Storage, (Per Year); Embryo(S) |
| 89343-CPT | Low | Storage, (Per Year); Sperm/Semen |
| 89344-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 89342. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89342 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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