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See a sample rate comparisonHealthcare 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 Therapeutic Drug Assays |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 80324 |
| Medicaid Fee Schedule | $13.585 median of the 6 states in the free preview · View Medicaid rates for 80324 |
National average reimbursement for CPT 80324 by major payers:

$20.61

$14.34

$2.24

$48.26
Choose a payer to see a sample of rates for CPT 80324.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Kelly Ridges
Allergy & Asthma Of Dupage, S.C.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Chca Bayshore Lp, Bayshore Medical Center
E And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
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Rate Benchmarking
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See a sample payer proposalCPT 80324 vs. Other Therapeutic Drug Assays Codes
The CPT 80324 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 80324 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 |
|---|---|---|
| 80321-CPT | Low | Alcohol Screening, Screening For Alcohol By-Products To Determine Alcohol Use Or Relapse Or Screening To Determine Genetic Disposition To Alcoholism. |
| 80322-CPT | Low | Alcohol Screening, Screening For Alcohol By-Products To Determine Alcohol Use Or Relapse Or Screening To Determine Genetic Disposition To Alcoholism. |
| 80323-CPT | Low | Alkaloid Test, The Alkaloid Test Measures The Presence Of Alkaloids Which Are In Certain Types Of Drugs. Examples Include Morphine Strychnine And Quinine. |
| 80324-CPT | Low | Amphetamine Drug Screening, This Screening Measures The Amount Of Amphetamine Or Methamphetamine Present In A Blood Or Urine Sample. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80324. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80324 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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