CPT 89230: Sweat collectionMedicare rate & RVUs

Reports collection of a sweat specimen, commonly for sweat chloride testing during evaluation for cystic fibrosis; laboratory analysis is coded separately.

CMS RVU26DEffective Oct 1, 2026109 payment localities31 Medicare services in 2024

Medicare pays $3.01 for 89230 nationally in the office. Local office rates run $2.47–$4.03.

Medicare rate · 89230

Sweat collection

Swap in your local Medicare rate.

Work RVUs
0
Total RVUs
0.09
Global days
XXX

National rate · 2026

$3.01

Office setting, before claim adjustments.

See every locality for 89230 →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 89230 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 89230 covers

This service covers obtaining a sweat specimen for laboratory testing, commonly sweat chloride analysis when cystic fibrosis is being evaluated. Trained laboratory personnel typically stimulate sweating with pilocarpine iontophoresis and collect the resulting sweat on an absorbent collector or in a collection device. The collection is performed in a clinical or laboratory setting equipped to obtain and handle the specimen for analysis.

Report 89230 for the collection procedure, not for measuring the specimen’s chloride content or interpreting the result. Documentation should identify the reason for testing, the collection method, and the specimen obtained and sent for analysis. CMS classifies this as a technical-component-only code; a separate code covers interpretation. The collection code therefore represents the technical service, while interpretation is reported separately under the applicable code.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 89230 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$2.47 to $4.03

$2.47$3.25$4.03
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

89230 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$2.53Unavailable
Alaska*$3.03Unavailable
Arizona$2.88Unavailable
Arkansas$2.47Unavailable
Atlanta$3.12Unavailable
Austin$3.12Unavailable
Bakersfield$3.13Unavailable
Baltimore/Surr. Cntys$3.28Unavailable
Beaumont$2.74Unavailable
Brazoria$2.91Unavailable

89230 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$2.47

$3.57

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
89230 office rate range by state
State / territoryOffice rate rangeLocalities
AK$3.031
AL$2.531
AR$2.471
AZ$2.881
CA$3.11–$4.0329
CO$3.101
CT$3.281
DC$3.521
DE$2.941
FL$3.06–$3.633
GA$2.78–$3.122
GU$3.231
HI$3.231
IA$2.581
ID$2.621
IL$2.96–$3.454
IN$2.641
KS$2.581
KY$2.681
LA$2.68–$2.892
MA$3.08–$3.492
MD$3.01–$3.523
ME$2.67–$2.862
MI$2.82–$3.142
MN$2.851
MO$2.63–$2.883
MS$2.551
MT$3.011
NC$2.711
ND$2.811
NE$2.591
NH$3.071
NJ$3.28–$3.462
NM$2.851
NV$2.951
NY$2.77–$3.805
OH$2.781
OK$2.651
OR$2.90–$3.222
PA$2.77–$3.182
PR$3.031
RI$3.061
SC$2.751
SD$2.781
TN$2.611
TX$2.74–$3.128
UT$2.811
VA$2.86–$3.522
VI$3.031
VT$2.811
WA$3.07–$3.552
WI$2.661
WV$2.801
WY$2.921

How the 89230 rate is calculated

Each of 89230’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 89230

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 0.08Malpractice 0.01

0.0900 adjusted RVUs×$33.4009 conversion factor=$3.01

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 89230

The CMS indicators that decide how 89230 is paid alongside other services.

CMS payment indicators · 89230

Sweat collection

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

89230 compared with similar codes

Compare codes

89230 vs 82438 vs 89220: national Medicare rates

Swap in your local Medicare rate.

  • 89230
    Sweat collection · 0 wRVU
    $3.01
  • 82438
    · 0 wRVU
    —
  • 89220
    Sputum collection · 0 wRVU
    $21.04+$18.03

How to choose

82438Assay other fluid chlorides
89230 reports collecting the sweat specimen; 82438 reports chloride measurement from a nonblood source. Report each service performed.
89220Sputum collection
89220 concerns sputum specimen collection. It does not describe collecting sweat for sweat testing.

89230 billing questions

Is 89230 the sweat chloride test itself?

No. It reports collecting the sweat specimen. The laboratory analysis, such as chloride measurement, is a separate service.

Can 89230 be reported with a sweat chloride assay?

Yes, when both the collection and the laboratory assay are performed and documented. CPT 82438 is used for chloride from a source other than blood.

Does 89230 include interpretation?

No. CMS identifies 89230 as technical-component-only and states that a separate code covers interpretation.

Should modifier TC be appended?

CMS classifies the code itself as technical-component-only. Report the separate interpretation service under its applicable code rather than treating 89230 as the interpretation.

What documentation supports reporting 89230?

Record the clinical reason for the sweat test, how the specimen was collected, and that it was obtained for laboratory analysis.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 89230PPRRVU2026_Oct_nonQPP.csv, line 11,344 (RVU26D)

Open CMS sourceHow we calculate rates

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