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See a sample rate comparisonCPT 0018M 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.
Trnsplj Rnl Meas Cd154+Cll, Transplantation Medicine (Allograft Rejection Renal) Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells Utilizing Whole Peripheral Blood Algorithm Reported As A Rejection Risk Score. (Do Not Report 0018m In Conjunction With 85032 86353 86821 88184 88185 88187 88230 88240 88241)?
| Key Fact | Detail |
|---|---|
| Service Type | Multianalyte Assay |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0018M |
| Medicaid Fee Schedule | View Medicaid rates for 0018M |
National average reimbursement for CPT 0018M by major payers:
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CPT 0018M
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,409.61Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$640.73Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$472.50Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$320.37Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$224.25Published rate
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See a sample payer proposalCPT 0018M vs. Other Multianalyte Assay Codes
The CPT 0018M 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 0018M 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 |
|---|---|---|
| 0018M-CPT | Moderate | Trnsplj Rnl Meas Cd154+Cll, Transplantation Medicine (Allograft Rejection Renal) Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells Utilizing Whole Peripheral Blood Algorithm Reported As A Rejection Risk Score. (Do Not Report 0018m In Conjunction With 85032 86353 86821 88184 88185 88187 88230 88240 88241)? |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0018M. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0018M 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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