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See a sample rate comparisonCPT 80074 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.
Acute Hepatitis Panel, Acute Hepatitis Panel This Panel Must Include The Following Hepatitis A Antibody Haab Igm Antibody 86709 Hepatitis B Core Antibody Hbcab Igm Antibody 86705 Hepatitis B Surface Antigen Hbsag 87340 Hepatitis C Antibody 86803
| 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 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $47.63 national lab fee schedule rate (2026) · View Medicare rates for 80074 |
| Medicaid Fee Schedule | $43.82 median of the 8 states in the free preview · View Medicaid rates for 80074 |
National average reimbursement for CPT 80074 by major payers:
$40.31
$33.88
$56.73
$68.83
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CPT 80074
5 of 25 sample ratesHigher to lower in this preview
Daniel Urbine
Florida Clinical Practice Association Inc
$185.88Published rateScott Gilbert
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$28.57Published rateEric Diner
Baycare Medical Group Inc
$27.44Published rateMariatu Verla
Orlando Health Medical Group Inc
$20.00Published rateCarlos Torre
Sleep Snoring Sinus Clinic Of Florida LLC
$16.67Published rate
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See a sample payer proposalCPT 80074 vs. Other Organ or Disease Oriented Panels Codes
The CPT 80074 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 80074 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 |
|---|---|---|
| 80074-CPT | Low | Acute Hepatitis Panel, Acute Hepatitis Panel This Panel Must Include The Following Hepatitis A Antibody Haab Igm Antibody 86709 Hepatitis B Core Antibody Hbcab Igm Antibody 86705 Hepatitis B Surface Antigen Hbsag 87340 Hepatitis C Antibody 86803 |
| 86705-CPT | Low | Hepatitis B Antibody Test, This Blood Test Detects Antibodies For Hepatitis B A Virus That Can Damage The Liver. Test Results Can Indicate A Current Chronic Or Past Infection. They Also Can Indicate Immunity From A Vaccination. |
| 86709-CPT | Low | Hepatitis A Antibody Test, This Test Detects Antibodies For Hepatitis (Hep) A A Virus That Can Damage The Liver. If The Result Is Positive The Infection Is Current Or There Is Immunity From Previous Exposure Or Vaccination. |
| 87340-CPT | Low | Infectious Agent Antigen Detection By Immunoassay Technique (Eg Enzyme Immunoassay [Eia] Enzyme- Linked Immunosorbent Assay [Elisa] Fluorescence Immunoassay [Fia] Immuno- Chemiluminometric Assay [Imca]) Qualitative Or Semiquantitative; Hepatitis B Surface Antigen (Hbsag) (Desc Rvsd 10/6/20) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80074. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80074 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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