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See a sample rate comparisonCPT 99190 Fee Schedule
Last Verified: September 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.
Assembly And Operation Of Pump, Assembly And Operation Of Pump With Oxygenator Or Heatexchanger (With Or Without Ecg Andor Pressuremonitoring) Each Hour
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Other Medicine Services and Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 76 - Repeat procedure by same physician XU - Unusual Non-Overlapping Service BL - Special acquisition of blood and blood products |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 99190 |
| Medicaid Fee Schedule | View Medicaid rates for 99190 |
National average reimbursement for CPT 99190 by major payers:
$563.82
$584.06
$480.30
$835.04
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CPT 99190
5 of 25 sample ratesHigher to lower in this preview
Juniper Burch
$1,681.60Published rateChristopher Finnila
Medical Clinic Of Houston, LLP
$880.58Published rateTariq Yousuf
Carrus Care Physicians Group Inc
$528.34Published rateAmana Healthcare PLLC
$396.26Published rateJohn Wilson
John W Wilson D O P A
$308.20Published rate
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See a sample payer proposalCPT 99190 vs. Other Other Medicine Services and Procedures Codes
The CPT 99190 code is part of the Medicine Services and Procedures services used for Other Medicine Services and 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 99190 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 |
|---|---|---|
| 99190-CPT | Moderate | Assembly And Operation Of Pump, Assembly And Operation Of Pump With Oxygenator Or Heatexchanger (With Or Without Ecg Andor Pressuremonitoring) Each Hour |
| 99191-CPT | Moderate | Oxygen/Heat Pump Assembly, Assembly And Operation Of Pump With Oxygenator Or Heat Exchanger (With Or Without Ecg And/Or Pressure Monitoring); 3/4 Hour |
| 99192-CPT | Moderate | Oxygen/Heat Pump Assembly, Assembly And Operation Of Pump With Oxygenator Or Heat Exchanger (With Or Without Ecg And/Or Pressure Monitoring); 1/2 Hour |
| 99195-CPT | Low | Phlebotomy, Therapeutic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99190 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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