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See a sample rate comparisonCPT 99192 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Other Medicine Services and Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room 11 - Office 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 25 - Significant, separately identifiable E/M service same day 59 - Distinct Procedural Service 76 - Repeat procedure by same physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 99192 |
| Medicaid Fee Schedule | View Medicaid rates for 99192 |
National average reimbursement for CPT 99192 by major payers:
$305.36
$292.15
$243.13
$419.30
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CPT 99192
5 of 25 sample ratesHigher to lower in this preview
Harwood Egan
Mass General Brigham Incorporated
$854.32Published rateKelby Maher
Highland Pediatrics, P.C.
$359.50Published rateTigist Mehari
Good Samaritan Hosptial Medical Center
$331.10Published rateOmar Alani
Whittier Street Health Center Committere Inc
$249.88Published rateNabeel Khan, Md PA
$164.61Published rate
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See a sample payer proposalCPT 99192 vs. Other Other Medicine Services and Procedures Codes
The CPT 99192 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 99192 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 99192. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99192 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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