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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 24 - Ambulatory Surgical Center |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 89354 |
National average reimbursement for CPT 89354 by major payers:

$141.35

$57.50

$10.58

$357.74
Choose a payer to see a sample of rates for CPT 89354.
Canyon Atlantic
Eastland Memorial Hospital District, Eastland Memorial Hospital
Tenet Hospitals Limited, The Hospitals Of Providence Transmountain Campus
Nmc Operating Company LLC, The Spine Hospital Of Louisiana
Nmc Operating Company, LLC
Palo Pinto County Hospital District, Palo Pinto General Hospital
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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 89354 vs. Other Reproductive Medicine Procedures Codes
The CPT 89354 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 89354 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 89354. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89354 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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