CPT 80329 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 | Therapeutic Drug Assays Pathology and Laboratory Procedures |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 80329 |
National average reimbursement for CPT 80329 by major payers:

$23.70

$15.82

$2.44

$48.91
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 80329 | $10.25 | 1477283299 - ANDREA WINTERS | 592485899 | FL | Physician Assistant (363A00000X) |
United | 80329 | $29.86 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 80329 | $8.52 | 1376095190 - CAITLIN IDASPE | 852305191 - (FL) INSPIRE ONCOLOGY LLC | FL | Physician Assistant (363A00000X) |
United | 80329 | $63.36 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 80329 | $10.64 | 1942247697 - YOHANI TORRES | 464477281 - (FL) SKIN WELLNESS PHYSICIANS LLC | FL | Physician Assistant (363A00000X) |
United | 80329 | $8.52 | 1225280464 - SUSAN GILL | 852305191 - (FL) INSPIRE ONCOLOGY LLC | FL | Physician Assistant (363A00000X) |
United | 80329 | $8.52 | 1760053201 - KIMBERLY GARCIA | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Gerontology Nurse Practitioner (363LG0600X) |
United | 80329 | $24.79 | 1134133002 - PIEDMONT NEWNAN HOSPITAL, INC. | 205077249 - (GA) PIEDMONT NEWNAN HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | 80329 | $9.67 | 1225280464 - SUSAN GILL | 262909414 - MILLENNIUM PHYSICIAN GROUP, LLC | FL | Physician Assistant (363A00000X) |
United | 80329 | $34.87 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 80329 | $8.52 | 1962051805 - DIANA PEREZ-CHARTON | 852305191 - (FL) INSPIRE ONCOLOGY LLC | FL | Family Nurse Practitioner (363LF0000X) |
United | 80329 | $11.46 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 80329 | $9.60 | 1821481615 - WAYNE SEWARD | 204389641 - (FL) MOORE MEDICAL GROUP INC | FL | Surgical Physician Assistant (363AS0400X) |
United | 80329 | $17.20 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 80329 | $60.48 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
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 80329 vs. Other Pathology and Laboratory Procedures Codes
The CPT 80329 code is part of the Therapeutic Drug Assays services used for Pathology and Laboratory Procedures. 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 80329 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 |
|---|---|---|
| 80327-CPT | Low | Anabolic Steroid Screening, This Screening Measures The Amount Of Anabolic Steroids Present In A Blood Or Urine Sample. |
| 80328-CPT | Low | Anabolic Steroid Screening, This Screening Measures The Amount Of Anabolic Steroids Present In A Blood Or Urine Sample. |
| 80329-CPT | Low | Analgesic Drug Screening, This Screening Measures The Amount Of Analgesics Present In A Blood Or Urine Sample. |
| 80330-CPT | Low | Analgesic Drug Screening, This Screening Measures The Amount Of Analgesics 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 80329. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80329 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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