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See a sample rate comparisonCPT 82013 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.
Nervous System Blood Test, Acetylcholinesterase Is An Enzyme Present In The Blood That Is Essential For A Healthy Nervous System. The Test Is Used Most Often To Assess Exposure To Pesticides That Contain Organophosphates.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.29 national lab fee schedule rate (2026) · View Medicare rates for 82013 |
| Medicaid Fee Schedule | $11.305 median of the 8 states in the free preview · View Medicaid rates for 82013 |
National average reimbursement for CPT 82013 by major payers:
$10.59
$8.43
$13.84
$17.89
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CPT 82013
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$27.04Published rateSt. David'S Healthcare Partnership, L.P., LLP, St. David'S South Austin Medical Center
$12.28Published rateCoastal Carolina Medical Center, Inc., Coastal Carolina Hospital
$12.28Published rateGainesville Community Hospital, Inc., North Texas Medical Center
Gainesville Community Hospital Inc
$9.78Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$5.16Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82013 vs. Other Chemistry Procedures Codes
The CPT 82013 code is part of the Pathology and Laboratory Procedures services used for Chemistry 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 82013 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 |
|---|---|---|
| 82013-CPT | Low | Nervous System Blood Test, Acetylcholinesterase Is An Enzyme Present In The Blood That Is Essential For A Healthy Nervous System. The Test Is Used Most Often To Assess Exposure To Pesticides That Contain Organophosphates. |
| 82016-CPT | Low | Fatty Acid Enzyme Test, Acylcarnitine Is An Enzyme In The Blood That Helps To Metabolize Long-Chain Fatty Acids. Tests Check For The Presence Of The Enzyme Or The Amount In The Sample. Deficiencies Are Rare And Usually Genetic. |
| 82017-CPT | Low | Fatty Acid Enzyme Test, Acylcarnitine Is An Enzyme In The Blood That Helps To Metabolize Long-Chain Fatty Acids. Tests Check For The Presence Of The Enzyme Or The Amount In The Sample. Deficiencies Are Rare And Usually Genetic. |
| 82024-CPT | Low | Hormone (Acth) Blood Test, Adrenocorticotrophic Hormone (Acth) Comes From The Pituitary Gland In The Brain And Manages Production Of Cortisol A Hormone Related To Stress. The Blood Test Helps To Diagnose Cushings Syndrome Depression And Other Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82013. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82013 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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