How much does Medicare pay for HCPCS 0598T?

Medicare allowed an average of $121.49 per service and paid $96.12 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $373.67, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code 0598T?

Fluorescence wound imaging for bacteria, first anatomic site. It was billed 77,036 times to 20,452 Medicare beneficiaries by 294 providers in 2024.

Does 0598T pay differently in an office than a hospital?

Yes. The allowed amount averaged $120.51 in an office setting and $125.39 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 0598T most?

Nurse Practitioner, with 52,551 services from 179 clinicians. Next are Physician Assistant, Podiatry, Family Practice.

HCPCS 0598T

Fluorescence wound imaging for bacteria, first anatomic site

$121.49Medicare-allowed amount per service, averaged across 77,036 services

Providers submitted

$373.67

Asking price, not received

Medicare allowed

$121.49

The fee schedule figure

Medicare paid

$96.12

Balance is patient coinsurance

Providers submitted an average of $373.67 for this code and Medicare allowed $121.49 — 3.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $96.12 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $120.51
Hospital / facility: $125.39

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 61,548 services were billed in an office setting and 15,488 in a facility.

Services: 77,036
Beneficiaries: 20,452
Providers billing it: 294
Total allowed: $9,359,104

What Medicare pays for HCPCS 0598T

Across 77,036 services billed by 294 providers to 20,452 beneficiaries, Medicare allowed an average of $121.49 per service. That is 3.8 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 0598T

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	52,551	13,722	$119.31	179
Physician Assistant	7,708	1,400	$131.47	14
Podiatry	6,419	1,597	$108.52	39
Family Practice	2,990	1,037	$137.63	19
Internal Medicine	1,687	752	$136.19	8
Emergency Medicine	1,521	474	$137.57	2
General Surgery	926	471	$131.06	9
Physical Medicine and Rehabilitation	636	124	$90.91	2
General Practice	466	130	$162.87	3
Hospice and Palliative Care	439	80	$131.67	1
Plastic and Reconstructive Surgery	388	203	$166.95	2
Certified Clinical Nurse Specialist	386	37	$112.80	2
Vascular Surgery	239	62	$76.95	2
Colorectal Surgery (Proctology)	173	20	$149.97	1
Dermatology	172	148	$143.02	2

0598T reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
New Jersey	35,181	$143.00	$114.72	50
Florida	7,255	$133.20	$103.88	37
Oklahoma	7,167	$115.23	$90.57	36
Missouri	6,590	$50.65	$39.87	24
Mississippi	3,005	$108.68	$86.09	25
Louisiana	2,875	$115.56	$91.89	31
Ohio	2,043	$139.33	$110.56	4
New York	1,611	$133.58	$112.46	5
Georgia	1,502	$69.37	$55.03	5
Indiana	1,334	$57.96	$46.48	10
Tennessee	1,239	$95.49	$76.91	10
Texas	1,004	$130.18	$108.08	9
North Carolina	924	$83.88	$67.31	8
Alabama	897	$88.62	$68.75	4
Maryland	858	$138.77	$115.13	1
Pennsylvania	849	$143.10	$113.09	8
Kansas	736	$53.05	$40.48	9
Virginia	590	$117.39	$91.52	2
Illinois	469	$24.39	$19.36	4
California	414	$107.93	$85.99	3
Colorado	208	$140.12	$112.19	4
Arizona	78	$36.17	$28.73	2
Iowa	71	$50.39	$40.15	1
District of Columbia	69	$179.29	$140.24	1
Connecticut	67	$45.89	$36.56	1

Related codes

0599TFluorescence wound imaging for bacteria$81.95

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.