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See a sample rate comparisonCPT 89398 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.
Unlisted Reproductive Medicine Lab Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Reproductive Medicine Procedures |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | 90 - Reference Laboratory 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 89398 |
National average reimbursement for CPT 89398 by major payers:
$12.55
$49.47
$76.47
$29,999.70
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CPT 89398
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, St Tammany Parish Hospital Service District #2
Slidell Memorial Hospital
$110.25Published rateClhg-Oakdale, LLC, Oakdale Community Hospital
Clhgoakdale LLC
$59.08Published rateVhs San Antonio Partners LLC, Baptist Medical Center
$49.75Published rateHomer Memorial Hospital, Claiborne Memorial Medical Center
Homer Memorial Hospital
$42.97Published rateNocona Hospital District, Nocona General Hospital
$4.38Published rate
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See a sample payer proposalCPT 89398 vs. Other Reproductive Medicine Procedures Codes
The CPT 89398 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 89398 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. |
| 89398-CPT | Low | Unlisted Reproductive Medicine Lab Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89398. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89398 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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