CPT 81329 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 • Molecular Pathology Procedures |
| Common Place of Service | • 81 - Independent Laboratory • 11 - Office |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 90 - Reference Laboratory |
| Complexity Level | Low |
National average reimbursement for CPT 81329 by major payers:
$110.92
$83.99
$134.06
$221.01
| 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 81329 | ||||||
United | 81329 | $222.16 | 1528566056 - AISTE NARKEVICIUTE | 260089066 | CA | Genetic Counselor (M.S.) (170300000X) |
United | 81329 | $143.85 | 1588744908 - ALEKSANDAR RAJKOVIC | 943281657 | CA | Clinical Genetics (M.D.) Physician (207SG0201X) |
United | 81329 | $171.25 | 1215121132 - OPHIR KLEIN | 943191703 | CA | Clinical Genetics (M.D.) Physician (207SG0201X) |
United | 81329 | $751.79 | 1578986394 - NATALYA SPIVAK | 943281657 | CA | Genetic Counselor (M.S.) (170300000X) |
United | 81329 | $171.25 | 1780818302 - NIKKI MADSON | 943281666 | CA | Genetic Counselor (M.S.) (170300000X) |
United | 81329 | $463.64 | 1871970541 - WAI PARK | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Clinical Genetics (M.D.) Physician (207SG0201X) |
United | 81329 | $222.16 | 1073054722 - HELIO COSTA | 770465765 | CA | Clinical Molecular Genetics Physician (207SG0203X) |
United | 81329 | $137.00 | 1396520862 - LAKE SURGICAL HOSPITAL SLIDELL, LLC | 474228147 - (LA) LAKE SURGICAL HOSPITAL SLIDELL, LLC DBA SOUTHERN SURGICAL HOSPITAL | LA | General Acute Care Hospital (282N00000X) |
United | 81329 | $634.69 | 1235165796 - WAYNE GRODY | 954684995 | CA | Molecular Genetic Pathology (Pathology) Physician (207ZP0007X) |
United | 81329 | $563.59 | 1831575364 - COLETTE DEFILIPPO | 680334324 | CA | Genetic Counselor (M.S.) (170300000X) |
United | 81329 | $175.36 | 1841794567 - LAURA WILSON | 61330992 - NORTHEAST MEDICAL GROUP INC | CA | Clinical Genetics (M.D.) Physician (207SG0201X) |
United | 81329 | $676.61 | 1851911705 - LAUREL HOCHSTETLER | 943281662 | CA | Genetic Counselor (M.S.) (170300000X) |
United | 81329 | $676.61 | 1588744908 - ALEKSANDAR RAJKOVIC | 943281660 | CA | Clinical Genetics (M.D.) Physician (207SG0201X) |
United | 81329 | $676.61 | 1972034841 - DAVID BLAIR | 943281657 | CA | Clinical Genetics (M.D.) Physician (207SG0201X) |
United | 81329 | $751.79 | 1033464821 - JESSICA TENNEY | 943281657 | CA | Clinical Genetics (M.D.) Physician (207SG0201X) |
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 81329 vs. Other Molecular Pathology Procedures Codes
The CPT 81329 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 81329 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 |
|---|---|---|
| 81292-CPT | Moderate | Mlh1 (Mutl Homolog 1, Colon Cancer, Nonpolyposis Type 2) (Eg, Hereditary Non-Polyposis Colorectal Cancer, Lynch Syndrome) Gene Analysis; Full Sequence Analysis |
| 81293-CPT | Moderate | Mlh1 (Mutl Homolog 1, Colon Cancer, Nonpolyposis Type 2) (Eg, Hereditary Non-Polyposis Colorectal Cancer, Lynch Syndrome) Gene Analysis; Known Familial Variants |
| 81327-CPT | Low | Sept9 (Septin9) (Eg Colorectal Cancer) Promoter Methylation Analysis (Desc Rvsd 1/1/19) |
| 81329-CPT | Low | Smn1 (Survival Of Motor Neuron 1 Telomeric) (Eg Spinal Muscular Atrophy) Gene Analysis; Do- Sage//Deletion Analysis (Eg Carrier Testing) In-Cludes Smn2 (Survival Of Motor Neuron 2 Cen- Tromeric) Analysis If Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81329. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81329 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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