CPT 81344 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 90 - Reference Laboratory XS - Separate Structure |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 81344 |
| Medicaid Fee Schedule | View Medicaid rates for 81344 |
National average reimbursement for CPT 81344 by major payers:
$111.19
$83.98
$124.80
$209.54
CPT 81344 vs. Other Molecular Pathology Procedures Codes
The CPT 81344 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 81344 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 |
|---|---|---|
| 81343-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. |
| 81344-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. |
| 81345-CPT | Low | Tert Gene Targeted Seq Alys, Tert Telomerase Reverse Transcriptase Eg Thyroid Carcinoma Glioblastoma Multiforme Gene Analysis Targeted Sequence Analysis Eg Promoter Region |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81344. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81344 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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