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See a sample rate comparisonCPT 0019M 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.
Cv Ds Plasma Alys Prtn Bmrk, Cardiovascular Disease Plasma Analysis Of Protein Biomarkers By Aptamer Based Microarray And Algorithm Reported As 4 Year Likelihood Of Coronary Event In High Risk Populations
| Key Fact | Detail |
|---|---|
| Service Type | Multianalyte Assay |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0019M |
| Medicaid Fee Schedule | View Medicaid rates for 0019M |
National average reimbursement for CPT 0019M by major payers:
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CPT 0019M
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$1,475.17Published rateRebecca Griffith
Atlantic Health System Inc
$952.38Published rateWest Georgia Medical Center, Inc., West Georgia Medical Center
West Georgia Medical Center Inc
$712.40Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$427.44Published rateMichael Guillette
Aztec Urgent Care LLC
$299.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 0019M vs. Other Multianalyte Assay Codes
The CPT 0019M 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 0019M 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 |
|---|---|---|
| 0019M-CPT | Moderate | Cv Ds Plasma Alys Prtn Bmrk, Cardiovascular Disease Plasma Analysis Of Protein Biomarkers By Aptamer Based Microarray And Algorithm Reported As 4 Year Likelihood Of Coronary Event In High Risk Populations |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0019M. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0019M 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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