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See a sample rate comparisonCPT 0017M Fee Schedule
Last Verified: October 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.
Onc Dlbcl Mrna 20 Genes Alg, Oncology (Diffuse Large B-Cell Lymphoma (Dlbcl)) Mrna Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes Formalin-Fixed Paraffin-Embedded Tissue Algorithm Reported As Cell Of Origin (Do Not Report 0017m In Conjunction With 0120u)
| Key Fact | Detail |
|---|---|
| Service Type | Multianalyte Assay |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0017M |
| Medicaid Fee Schedule | View Medicaid rates for 0017M |
National average reimbursement for CPT 0017M by major payers:
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CPT 0017M
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$5,522.46Published rateChristopher Raio
St Joseph Hospital
$2,982.13Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$1,851.13Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$1,506.13Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$1,004.08Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 0017M vs. Other Multianalyte Assay Codes
The CPT 0017M code is part of the Multianalyte Assay services . 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 0017M 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 |
|---|---|---|
| 0017M-CPT | Moderate | Onc Dlbcl Mrna 20 Genes Alg, Oncology (Diffuse Large B-Cell Lymphoma (Dlbcl)) Mrna Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes Formalin-Fixed Paraffin-Embedded Tissue Algorithm Reported As Cell Of Origin (Do Not Report 0017m In Conjunction With 0120u) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0017M. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0017M 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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