CPT 80076 Fee Schedule
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.
| 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 | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
National average reimbursement for CPT 80076 by major payers:
$7.11
$5.73
$10.29
$12.21
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 80076 | ||||||
United | 80076 | $3.43 | 1801087705 - JOSETTE MILLER | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | Internal Medicine Physician (207R00000X) |
United | 80076 | $4.80 | 1801049523 - MARIO TOPOLKO | 371509042 | CO | Family Medicine Physician (207Q00000X) |
United | 80076 | $3.43 | 1275734592 - CHERYL STANFORD | 840438224 - PORTERCARE ADVENTIST HEALTH SYSTEM | CO | Family Medicine Physician (207Q00000X) |
United | 80076 | $3.43 | 1386036341 - SALWA ZAHALKA | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Endocrinology, Diabetes & Metabolism Physician (207RE0101X) |
United | 80076 | $3.43 | 1699858225 - KATHERINE HOEKSTRA | 200186252 - (WY) LANDER VALLEY PHYSICIAN PRACTICES LLC | CO | Internal Medicine Physician (207R00000X) |
United | 80076 | $3.43 | 1740480706 - STEPHANIE CHRISTIE | 364778373 - (CO) ONPOINT MEDICAL GROUP, LLC | CO | Family Medicine Physician (207Q00000X) |
United | 80076 | $16.54 | 1215914585 - ESOTERIX, INC | 133802358 | CO | Clinical Medical Laboratory (291U00000X) |
United | 80076 | $3.43 | 1114373990 - SUSAN CREIGHTON | 841343242 | CO | Internal Medicine Physician (207R00000X) |
United | 80076 | $4.80 | 1700315215 - TIMOTHY HUTTON | 582046411 - (GA) HYPERBARIC PHYSICIANS OF GEORGIA | CO | Family Medicine Physician (207Q00000X) |
United | 80076 | $3.43 | 1083233647 - LYNDIE WILKINS PARKER | 205913494 - (CO) NORTHERN COLORADO HOSPITALISTS PLLC | CO | Internal Medicine Physician (207R00000X) |
United | 80076 | $4.90 | 1265525992 - AMY VARBLE | 472266879 - (NE) TELEDIGM PHYSICIAN SERVICES LLC | CO | Family Medicine Physician (207Q00000X) |
United | 80076 | $4.80 | 1609010727 - DAVID LAW | 833835340 - (CA) COMMUNITY CARE MEDICAL CENTER INC | CO | Family Medicine Physician (207Q00000X) |
United | 80076 | $3.43 | 1801232624 - ALLISON POST | 840613289 - (CO) SUNRISE COMMUNITY HEALTH | CO | Family Medicine Physician (207Q00000X) |
United | 80076 | $3.43 | 1205805470 - MONITA POUDYAL | 911491167 | CO | Nephrology Physician (207RN0300X) |
United | 80076 | $8.17 | 1912212093 - JEREMY BROWN | 821816296 - (CO) DYNAMIC FAMILY MEDICINE PLLC | CO | Family Medicine Physician (207Q00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 80076 vs. Other Organ or Disease Oriented Panels Codes
The CPT 80076 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 80076 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 Metabolic Panel (Calcium Ionized) This Panel Must Include The Following: Calcium Ionized (82330) Carbon Dioxide (82734) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) And Urea Nitrogen (Bun)(84520) |
| 80048-CPT | Low | 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) |
| 80053-CPT | Low | Comprehensive Metabolic Panel This Panel Must Include The Following: Albumin (82040) Bilirubin, Total (82247) Calcium, Total (82310) Carbon Dioxide (Bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, Alkaline (84075) Potassium (84 |
| 80076-CPT | Low | Hepatic Function Panel This Panel Must Include The Following: Albumin (82040) Bilirubin, Total (82247) Bilirubin, Direct (82248) Phosphatase, Alkaline (84075) Protein, Total (84155) Transferase, Alanine Amino (Alt) (Sgpt) (84460) Transferase, Aspartate Amino (Ast) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80076. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80076 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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