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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 | 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 89353 |
National average reimbursement for CPT 89353 by major payers:

$50.80

$66.15

$19.77

$632.45
Choose a payer to see a sample of rates for CPT 89353.
Citizens Medical Center County Of Victoria, County Of Victoria Citizens Medical Center
Covenant Medical Center
Chca Bayshore Lp, Bayshore Medical Center
Columbia Medical Center Of Arlington Subsidiary Lp, Medical City Arlington
Columbia Medical Center Of Arlington Subsidiary Lp
Tyler County Hospital District
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 89353 vs. Other Reproductive Medicine Procedures Codes
The CPT 89353 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 89353 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 |
|---|---|---|
| 89346-CPT | Low | Storage, (Per Year); Oocyte |
| 89352-CPT | Moderate | Preserved Embryo Thawing, A Human Embryo That Has Been Preserved By Freezing Is Thawed Using A Precise Temperature Water Bath. |
| 89353-CPT | Low | Sperm Or Semen Thawing, Sperm Or Semen That Has Been Preserved By Freezing Is Thawed In Water That Is Temperature-Controlled. |
| 89354-CPT | Low | Reproductive Tissue Thawing, Specimens Of Human Reproductive Tissue Such As From A Testicle Or Ovary Are Preserved By Freezing. They Are Thawed Using A Precise Temperature Water Bath. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89353. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89353 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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