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See a sample rate comparisonCPT 80376 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.
Drug Screening Test, A Drug Screening Test Can Help Identify Abuse Of Legal Or Illegal Drugs. The Test Is Performed On A Blood Or Urine Sample.
| 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 80376 |
| Medicaid Fee Schedule | $19.075 median of the 4 states in the free preview · View Medicaid rates for 80376 |
National average reimbursement for CPT 80376 by major payers:
$21.76
$14.95
$2.36
$144.00
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CPT 80376
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$63.36Published rateChristopher Raio
St Francis Hospital
$17.61Published rateChristus Health Southeast Texas, Christus Southeast Texas - St. Elizabeth
Christus Health Southeast Texas
$14.51Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$10.15Published rateSacred Heart Health System Inc, Sacred Heart Home Care
Sacred Heart Health System Inc
$9.65Published rate
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See a sample payer proposalCPT 80376 vs. Other Therapeutic Drug Assays Codes
The CPT 80376 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 80376 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 |
|---|---|---|
| 80355-CPT | Low | Gabapentin Drug Screening, This Test Measures The Amount Of Gabapentin Present In Blood And Urine Samples. |
| 80375-CPT | Low | Drug Screening Test, A Drug Screening Test Can Help Identify Abuse Of Legal Or Illegal Drugs. The Test Is Performed On A Blood Or Urine Sample. |
| 80376-CPT | Low | Drug Screening Test, A Drug Screening Test Can Help Identify Abuse Of Legal Or Illegal Drugs. The Test Is Performed On A Blood Or Urine Sample. |
| 80377-CPT | Low | Drug Screening Test, A Drug Screening Test Can Help Identify Abuse Of Legal Or Illegal Drugs. The Test Is Performed On 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 80376. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80376 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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