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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 XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 80341 |
| Medicaid Fee Schedule | $16.66 median of the 5 states in the free preview · View Medicaid rates for 80341 |
National average reimbursement for CPT 80341 by major payers:

$17.73

$20.96

$0.68

$55.10
Choose a payer to see a sample of rates for CPT 80341.
Lubbock Heritage Hospital, LLC., Grace Surgical Hospital
Lubbock Heritage Hospital LLC
University Mcduffie County Regional Medical Center, Inc., Piedmont Mcduffie Hospital
University Mcduffie County Regional Medical Center Inc
Clhg-Ville Platte LLC, Mercy Regional Medical Center
Tyler County Hospital District
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
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Rate Benchmarking
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See a sample payer proposalCPT 80341 vs. Other Therapeutic Drug Assays Codes
The CPT 80341 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 80341 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 |
|---|---|---|
| 80339-CPT | Low | Antiepileptic Drug Screening, This Screening Measures The Amount Of Antiepileptics Present In A Blood Or Urine Sample. |
| 80340-CPT | Low | Antiepileptic Drug Screening, This Screening Measures The Amount Of Antiepileptics Present In A Blood Or Urine Sample. |
| 80341-CPT | Low | Antiepileptic Drug Screening, This Screening Measures The Amount Of Antiepileptics Present In A Blood Or Urine Sample. |
| 80346-CPT | Low | Sedative Therapy Monitoring, Benzodiazepines Are A Class Of Sedatives That Can Have Strong Effects. A Blood Analysis Helps To Determine A Therapeutic Dose And Can Show Other Issues Such As Overdosing. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80341. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80341 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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