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See a sample rate comparisonCPT 80177 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.
Medication Monitoring, Levetiracetam Typically Is Used To Treat Certain Types Of Seizures Caused By Epilepsy. Periodic Monitoring Evaluates Dosage Adverse Effects And Interactions With Other Drugs.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Therapeutic Drug Assays |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.25 national lab fee schedule rate (2026) · View Medicare rates for 80177 |
| Medicaid Fee Schedule | $13.085 median of the 8 states in the free preview · View Medicaid rates for 80177 |
National average reimbursement for CPT 80177 by major payers:
$11.73
$9.60
$14.70
$47.37
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CPT 80177
5 of 25 sample ratesHigher to lower in this preview
Michelle Lichtenberg
Neuroscience Group Of Northeast Wisconsin, S.C.
$33.04Published rateKell West Regional Hospital LLC
Kell West Regional Hospital, LLC
$16.28Published rateChca West Houston L P, Hca Houston Healthcare West
Chca West Houston L P
$13.25Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Grove
Prisma Health - Upstate
$11.93Published rateSt. Davids Healthcare Partnership, L.P., LLP, Heart Hospital Of Austin
Lone Star Circle Of Care
$5.57Published rate
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See a sample payer proposalCPT 80177 vs. Other Therapeutic Drug Assays Codes
The CPT 80177 code is part of the Pathology and Laboratory Procedures services used for Therapeutic Drug Assays. 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 80177 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 |
|---|---|---|
| 80173-CPT | Low | Haloperidol Drug Level, Haloperidol Is An Antipsychotic Used To Treat Severe Conditions Such As Schizophrenia And Delirium. Levels Are Monitored To Determine Correct Therapy Dose As Well As To Ensure It Is Not Interfering With Any Other Drug Therapies Being Used. |
| 80175-CPT | Low | Medication Monitoring, Lamotrigine Typically Is Used To Treat Mood Disorders And Certain Types Of Seizures. Periodic Monitoring Evaluates Dosage Adverse Effects And Interactions With Other Drugs. |
| 80176-CPT | Low | Lidocaine Dose Assessment, This Is A Blood Test To Measure The Amount Of Lidocaine Over Time. It Can Help Determine Correct Dose And Therapeutic Effectiveness. |
| 80177-CPT | Low | Medication Monitoring, Levetiracetam Typically Is Used To Treat Certain Types Of Seizures Caused By Epilepsy. Periodic Monitoring Evaluates Dosage Adverse Effects And Interactions With Other Drugs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80177. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80177 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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