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See a sample rate comparisonCPT 80370 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.
Screening For Muscle Relaxants, This Test Measures The Amount Of Muscle Relaxants Present In Blood And Urine Samples.
| 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 TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 80370 |
| Medicaid Fee Schedule | $15.60 median of the 5 states in the free preview · View Medicaid rates for 80370 |
National average reimbursement for CPT 80370 by major payers:
$16.11
$27.08
$1.49
$59.83
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CPT 80370
5 of 25 sample ratesHigher to lower in this preview
Lubbock Heritage Hospital, LLC., Grace Surgical Hospital
Lubbock Heritage Hospital LLC
$28.78Published ratePointe Coupee Parish Health Services District Number One, Pointe Coupee General Hospital
$21.57Published rateAu Medical Center, Inc
Au Medical Center Inc
$21.57Published rateClhg-Dequincy, LLC
Clhgdequincy LLC
$21.57Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$10.06Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 80370 vs. Other Therapeutic Drug Assays Codes
The CPT 80370 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 80370 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 |
|---|---|---|
| 80362-CPT | Low | Opiate Drug Screening, This Test Measures The Amount Of Opiates (Narcotic Painkillers Such As Morphine Or Codeine) Present In Blood And Urine Samples. |
| 80364-CPT | Low | Opiate Drug Screening, This Test Measures The Amount Of Opiates (Narcotic Painkillers Such As Morphine Or Codeine) Present In Blood And Urine Samples. |
| 80369-CPT | Low | Screening For Muscle Relaxants, This Test Measures The Amount Of Muscle Relaxants Present In Blood And Urine Samples. |
| 80370-CPT | Low | Screening For Muscle Relaxants, This Test Measures The Amount Of Muscle Relaxants Present In Blood And Urine Samples. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80370. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80370 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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