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See a sample rate comparisonCPT 80069 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.
Renal Function Panel, Renal Function Panel This Panel Must Include The Following: Albumin (82040) Calcium Total (82310) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus Inorganic (Phosphate) (84100) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Organ or Disease Oriented Panels |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $8.68 national lab fee schedule rate (2026) · View Medicare rates for 80069 |
| Medicaid Fee Schedule | $8.57 median of the 8 states in the free preview · View Medicaid rates for 80069 |
National average reimbursement for CPT 80069 by major payers:
$8.55
$6.11
$10.89
$12.65
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CPT 80069
5 of 25 sample ratesHigher to lower in this preview
Varalakshmi Devesh
Summit Health Urgent Care PLLC
$10.93Published rateBryce Rhodehouse
Mountain View Hospital LLC
$5.17Published rateIyunoluwa Agboola
Community Medicine Associates
$4.05Published rateGeoffrey Cox
South Oaks Family Medicine PA
$3.65Published rateNorman Brito-Dellan
$3.15Published rate
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See a sample payer proposalCPT 80069 vs. Other Organ or Disease Oriented Panels Codes
The CPT 80069 code is part of the Pathology and Laboratory Procedures services used for Organ or Disease Oriented Panels. 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 80069 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 |
|---|---|---|
| 80047-CPT | Low | Basic Metablc Pnl Ionized Ca, Basic Metabolic Panel (Calcium Ionized) This Panel Must Include The Following: Calcium Ionized (82330) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520) |
| 80048-CPT | Low | Basic Metabolic Pnl Total Ca, Basic Metabolic Panel (Calcium Total) This Panel Must Include The Following: Calcium Total (82310) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520) |
| 80051-CPT | Low | Electrolyte Testing, An Electrolyte Panel Is A Blood Test That Measures Levels Of Sodium Potassium Chloride And Bicarbonate In The Blood. It Commonly Helps Monitor Medication Effects And Evaluate Kidney Function. |
| 80069-CPT | Low | Renal Function Panel, Renal Function Panel This Panel Must Include The Following: Albumin (82040) Calcium Total (82310) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus Inorganic (Phosphate) (84100) Potassium (84132) Sodium (84295) Urea Nitrogen (Bun) (84520) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80069. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80069 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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