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See a sample rate comparisonCPT 0048U 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.
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| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0048U |
| Medicaid Fee Schedule | View Medicaid rates for 0048U |
National average reimbursement for CPT 0048U by major payers:
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CPT 0048U
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$6,423.12Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$2,916.68Published rateMichael Shuler
Athens Orthopedic Clinic, P.A.
$1,751.76Published rateMichael Jacobson
Hroa 401k Plan
$1,226.23Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$1,167.83Published rate
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See a sample payer proposalCPT 0048U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0048U code is part of the Proprietary Laboratory Analyses 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 0048U 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 |
|---|---|---|
| 0048U-CPT | Moderate | Onc Sld Org Neo Dna 468 Gene, Oncology Solid Organ Neoplasia Dna Targeted Sequencing Of Protein Coding Exons Of 468 Cancer Associated Genes Including Interrogation For Somatic Mutations And Microsatellite Instability Matched With Normal Specimens Utilizing Formalin Fixed Paraffin Embedded Tumor Tissue Report Of Clinically Significant Mutation S |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0048U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0048U 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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