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See a sample rate comparisonCPT 81179 Fee Schedule
Last Verified: September 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.
Genetic Test For Sca, A Lab Analysis Of Genetic Material That Can Indicate Sca (Spinocerebellar Ataxia) A Disorder Characterized By Progressive Incoordination Of Gait And Is Often Associated With Poor Coordination Of Hands Speech And Eye Movements.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Molecular Pathology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory XS - Separate Structure |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 81179 |
| Medicaid Fee Schedule | View Medicaid rates for 81179 |
National average reimbursement for CPT 81179 by major payers:
$111.15
$83.98
$129.97
$209.65
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CPT 81179
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Mercy Medical Center
$191.80Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$162.76Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$101.02Published rateAusencio Nunez
Progressive Medical Center, S.C.
$75.34Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$54.79Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 81179 vs. Other Molecular Pathology Procedures Codes
The CPT 81179 code is part of the Pathology and Laboratory Procedures services used for Molecular Pathology 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 81179 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 |
|---|---|---|
| 81178-CPT | Low | Genetic Test For Sca, A Lab Analysis Of Genetic Material That Can Indicate Sca (Spinocerebellar Ataxia) A Disorder Characterized By Progressive Incoordination Of Gait And Is Often Associated With Poor Coordination Of Hands Speech And Eye Movements. |
| 81179-CPT | Low | Genetic Test For Sca, A Lab Analysis Of Genetic Material That Can Indicate Sca (Spinocerebellar Ataxia) A Disorder Characterized By Progressive Incoordination Of Gait And Is Often Associated With Poor Coordination Of Hands Speech And Eye Movements. |
| 81180-CPT | Low | Genetic Test For Sca, A Lab Analysis Of Genetic Material That Can Indicate Sca (Spinocerebellar Ataxia) A Disorder Characterized By Progressive Incoordination Of Gait And Is Often Associated With Poor Coordination Of Hands Speech And Eye Movements. |
| 81181-CPT | Low | Genetic Test For Sca, A Lab Analysis Of Genetic Material That Can Indicate Sca (Spinocerebellar Ataxia) A Disorder Characterized By Progressive Incoordination Of Gait And Is Often Associated With Poor Coordination Of Hands Speech And Eye Movements. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81179. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81179 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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