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See a sample rate comparisonHealthcare 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 Chemistry Procedures |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.27 national lab fee schedule rate (2026) · View Medicare rates for 82077 |
| Medicaid Fee Schedule | $17.055 median of the 8 states in the free preview · View Medicaid rates for 82077 |
National average reimbursement for CPT 82077 by major payers:

$13.29

$10.44

$14.31

$51.23
Choose a payer to see a sample of rates for CPT 82077.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Christopher Raio
Samaritan Emergency Medical Services PC
Baycare Home Care, Inc.
Baycare Home Care Inc
Aaron Askew
The Orthopedic And Neurosurgical Center Of The Cascades
E And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
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Rate Benchmarking
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See a sample payer proposalCPT 82077 vs. Other Chemistry Procedures Codes
The CPT 82077 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 82077 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 |
|---|---|---|
| 82042-CPT | Low | Albumin Protein Lab Test, Albumin Is A Protein Found In Urine Blood Spinal Fluid And Amniotic Fluid. Elevated Albumin In The Urine May Indicate Diabetes Or Pregnancy. In Other Fluids The Albumin Level Can Provide Information About Nutrition Status Or Disease. |
| 82043-CPT | Low | Albumin Protein Lab Test, Albumin Is A Protein Found In Urine Blood Spinal Fluid And Amniotic Fluid. Elevated Albumin In The Urine May Indicate Diabetes Or Pregnancy. In Other Fluids The Albumin Level Can Provide Information About Nutrition Status Or Disease. |
| 82044-CPT | Low | Albumin Protein Lab Test, Albumin Is A Protein Found In Urine Blood Spinal Fluid And Amniotic Fluid. Elevated Albumin In The Urine May Indicate Diabetes Or Pregnancy. In Other Fluids The Albumin Level Can Provide Information About Nutrition Status Or Disease. |
| 82077-CPT | Low | Blood Alcohol Test, This Test Measures The Amount Of Alcohol Present In The Blood. The Result Suggests If A Person Is Drunk (By Legal Definition) And Can Help With Making Decisions For Therapy Or Treatment. The Test Result May Be Used In Legal Proceedings. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82077 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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