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See a sample rate comparisonCPT 0173U 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.
Genetic Analysis, This Lab Test Analyzes A Genetic Sample (Dna) For A Variant That Helps To Determine Sensitivity Or Resistance To Drugs Used To Treat Depression And Anxiety.
| Key Fact | Detail |
|---|---|
| Service Type | Proprietary Laboratory Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0173U |
| Medicaid Fee Schedule | View Medicaid rates for 0173U |
National average reimbursement for CPT 0173U by major payers:
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CPT 0173U
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,025.57Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$465.70Published rateBaycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$343.76Published rateMichael Jacobson
Hroa 401k Plan
$195.79Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$186.47Published rate
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See a sample payer proposalCPT 0173U vs. Other Proprietary Laboratory Analyses Codes
The CPT 0173U 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 0173U 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 |
|---|---|---|
| 0173U-CPT | Moderate | Genetic Analysis, This Lab Test Analyzes A Genetic Sample (Dna) For A Variant That Helps To Determine Sensitivity Or Resistance To Drugs Used To Treat Depression And Anxiety. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0173U. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0173U 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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