CPT 98008 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Acupuncture Procedures |
| Complexity Level | Moderate |
National average reimbursement for CPT 98008 by major payers:
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| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 98008 | ||||||
United | 98008 | $35.25 | 1205865540 - WILLIAM SMITH | 884128022 - (WV) CAMC GREENBRIER VALLEY MEDICAL CENTER INC | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $80.09 | 1538136759 - GEORGE SWANSON | 842176718 - (TN) WEST TENNESSEE HEALTHCARE HOSPITALISTS INC | TN | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 98008 | $57.19 | 1669675807 - JACKSON ANESTHESIA & PERIOPERATIVE CONSULTANTS P C | 621823007 - (TN) JACKSON ANESTHESIA PERIOPERATIVE CONSULTANTS P C | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $49.35 | 1154555233 - COURTNEY GHIASSI | 710824585 - (AR) JOSEPH E MILLER MD PA | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $54.90 | 1114154531 - NASHVILLE PAIN CENTER | 263849218 | TN | Pain Medicine Physician (208VP0000X) |
United | 98008 | $52.69 | 1770718405 - MID-SOUTH GASTROENTEROLOGY ASSOC PC | 621481150 - (TN) MIDSOUTH GASTROENTEROLOGY ASSOC PC | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $115.16 | 1932374485 - FREDERIC BILLINGS | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 98008 | $83.90 | 1558474940 - DANIEL BROWN | 620864163 - (TN) MURFREESBORO MEDICAL CLINIC, PA | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $50.06 | 1922035492 - MARTHA SMITH | 621708696 - (TN) PAIN CONSULTANTS OF EAST TENNESSEE, PLLC | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $76.31 | 1548785744 - CHRISTOPHER PARKER-RAJEWSKI | 471157530 - UT REGIONAL ONE PHYSICIANS INC | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $90.05 | 1477057214 - JAMES BUCK | 223849199 - WAKE FOREST UNIVERSITY HEALTH SCIENCES | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $51.11 | 1851826382 - PAUL LESKO | 883706617 - INTERVENTIONAL PAIN CONSULTANTS | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $115.16 | 1851648224 - DOROTHEE MUELLER | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 98008 | $73.73 | 1073535340 - SUSAN DUMAS | 204881619 - UNIVERSITY HOSPITALS HEALTH SYSTEM INC | TN | Anesthesiology Physician (207L00000X) |
United | 98008 | $110.22 | 1942628201 - MICHAEL BOWMAN | 620862316 - (TN) TENNESSEE ORTHOPAEDIC ALLIANCE, P.A. | TN | Pain Medicine Physician (208VP0000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 98008 vs. Other Acupuncture Procedures Codes
The CPT 98008 code is part of the Medicine Services and Procedures services used for Acupuncture 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 98008 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 |
|---|---|---|
| 98008-CPT | Moderate | Synchronous Audio-Only Visit For The Eval & Management Of A New Patient, Which Req A Medically Appropriate History And/Or Exam, 15 Minutes Must Be Met Or Exceeded |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 98008. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 98008 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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