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CPT 89342 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.

Storage, (Per Year); Embryo(S)
Key FactDetail
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 LevelModerate
Medicare Fee ScheduleView Medicare rates for 89342

National average reimbursement for CPT 89342 by major payers:

bcbs

$317.26

uhc

$205.01

aetna

$185.82

cigna

$747.59

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CPT 89342
5 of 25 sample ratesHigher to lower in this preview
  1. Karin Fuchs

    Columbia University In The City Of New York

    NYMaternal & Fetal Medicine PhysicianNPI 1699928788Tax ID 13-5598093

    $1,015.64Published rate
  2. Roxana Guerra

    Columbia University In The City Of New York

    NYObstetrics & Gynecology PhysicianNPI 1457731614Tax ID 13-5598093

    $1,005.51Published rate
  3. Eileen Demarco

    Columbia University In The City Of New York

    NYObstetrics & Gynecology PhysicianNPI 1962434308Tax ID 13-5598093

    $976.21Published rate
  4. Antoni Duleba

    Reproductive Partners Medical Group La Jolla Inc

    CAReproductive Endocrinology PhysicianNPI 1659354702Tax ID 46-0528762

    $400.00Published rate
  5. Natchitoches Parish Hospital Service District, Natchitoches Regional Medical Center

    Natchitoches Regional Medical Center

    LAGeneral Acute Care HospitalNPI 1689676835Tax ID 72-6013916

    $48.88Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 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.

CodeComplexityDescription
89337-CPTModerateCold Storage Of Egg Cells, Preserve Egg Cell By Freezing (Cryopreservation).
89342-CPTModerateStorage, (Per Year); Embryo(S)
89343-CPTLowStorage, (Per Year); Sperm/Semen
89344-CPTLowReproductive 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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