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See a sample rate comparisonCPT 0107U 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.
C Diff Tox Ag Detcj Ia Stool, Gastric Emptying Serial Collection Of 7 Timed Breath Specimens Non-Radioisotope Carbon-13 (13c) Spirulina Substrate Analysis Of Each Specimen By Gas Isotope Ratio Mass Spectrometry Reported As Rate Of 13co2 Excretion
| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 0107U |
| Medicaid Fee Schedule | View Medicaid rates for 0107U |
National average reimbursement for CPT 0107U by major payers:
$15.37
$16.01
$31.06
$23.20
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CPT 0107U
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$35.20Published rateChristopher Raio
St Joseph Hospital
$19.01Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$12.80Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$9.60Published rateMolly Mcintosh
Baycare Medical Group Inc
$6.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 0107U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0107U 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 0107U 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 |
|---|---|---|
| 0107U-CPT | Low | C Diff Tox Ag Detcj Ia Stool, Gastric Emptying Serial Collection Of 7 Timed Breath Specimens Non-Radioisotope Carbon-13 (13c) Spirulina Substrate Analysis Of Each Specimen By Gas Isotope Ratio Mass Spectrometry Reported As Rate Of 13co2 Excretion |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0107U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0107U 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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