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See a sample rate comparisonCPT 81515 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.
Nfct Ds Bv&Vaginitis Dna Alg, Infectious Disease Bacterial Vaginosis And Vaginitis Real-Time Pcr Amplification Of Dna Markers For Atopobium Vaginae Atopobium Species Megasphaera Type 1 And Bacterial Vaginosis Associated Bacteria-2 (Bvab-2) Utilizing Vaginal-Fluid Specimens Algorithm Reported As Positive Or Negative For High Likelihood Of Bacterial Vaginosis Includes Separate Detection Of Trichomonas Vaginalis And Candida Species (C. Albicans C. Tropicalis C. Parapsilosis C. Dubliniensis) Candida Glabrata/Candida Krusei When Reported
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Multianalyte Assays with Algorithmic Analyses |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $262.99 national lab fee schedule rate (2026) · View Medicare rates for 81515 |
| Medicaid Fee Schedule | $260.36 median of the 8 states in the free preview · View Medicaid rates for 81515 |
National average reimbursement for CPT 81515 by major payers:
$208.69
$262.55
$227.92
$835.74
Compare published rates across providers.
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CPT 81515
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$820.53Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$157.78Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$131.50Published rateMichael Guillette
Aztec Urgent Care LLC
$110.45Published rateMiguel Arenas
Miguel A Arenas Md PC
$110.45Published rate
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See a sample payer proposalCPT 81515 vs. Other Multianalyte Assays with Algorithmic Analyses Codes
The CPT 81515 code is part of the Pathology and Laboratory Procedures services used for Multianalyte Assays with Algorithmic Analyses. 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 81515 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 |
|---|---|---|
| 81515-CPT | Moderate | Nfct Ds Bv&Vaginitis Dna Alg, Infectious Disease Bacterial Vaginosis And Vaginitis Real-Time Pcr Amplification Of Dna Markers For Atopobium Vaginae Atopobium Species Megasphaera Type 1 And Bacterial Vaginosis Associated Bacteria-2 (Bvab-2) Utilizing Vaginal-Fluid Specimens Algorithm Reported As Positive Or Negative For High Likelihood Of Bacterial Vaginosis Includes Separate Detection Of Trichomonas Vaginalis And Candida Species (C. Albicans C. Tropicalis C. Parapsilosis C. Dubliniensis) Candida Glabrata/Candida Krusei When Reported |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 81515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 81515 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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