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 | • Pathology and Laboratory Procedures • Therapeutic Drug Assays |
| Common Place of Service | • 23 - Emergency Room • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • 91 - Repeat Lab Test |
| Complexity Level | Low |
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 |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 80329 | ||||||
United | 80329 | $11.67 | 1366400376 - SUNRISE HOME HEALTH CARE INC. | 650307774 - (FL) SUNRISE HOME HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 80329 | $8.52 | 1699270694 - MICHAEL BINNER | 852305191 - (FL) INSPIRE ONCOLOGY LLC | FL | Urology Physician (208800000X) |
United | 80329 | $8.52 | 1760570626 - SHARLA PATTERSON | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Surgery Physician (208600000X) |
United | 80329 | $60.48 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 80329 | $8.52 | 1932889250 - ROGELIO AVELAR | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Family Nurse Practitioner (363LF0000X) |
United | 80329 | $8.52 | 1407835234 - GEORGE KALEMERIS | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 80329 | $8.52 | 1972708154 - MARC GUTTMAN | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Urology Physician (208800000X) |
United | 80329 | $8.52 | 1457050106 - PRECISION HEALTHCARE SPECIALISTS, LLC | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Multi-Specialty Clinic/Center (261QM1300X) |
United | 80329 | $10.25 | 1629276613 - ELLEN POAGE | 592485899 | FL | Nurse Practitioner (363L00000X) |
United | 80329 | $16.34 | 1629276613 - ELLEN POAGE | 650495114 | FL | Nurse Practitioner (363L00000X) |
United | 80329 | $8.52 | 1942247697 - YOHANI TORRES | 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 | $34.87 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 80329 | $11.46 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 80329 | $29.86 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
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 Therapeutic Drug Assays Codes
The CPT 80329 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 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.
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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