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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 | 11 - Office 71 - Public Health Clinic |
| Common Modifiers | None QW - CLIA Waived Tests FP |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82120 |
| Medicaid Fee Schedule | View Medicaid rates for 82120 |
National average reimbursement for CPT 82120 by major payers:

$5.31

$4.70

$5.88

$8.38
Choose a payer to see a sample of rates for CPT 82120.
Hcn Ep Horizon City LLC
Prisma Health - Upstate
Urology Specialists Of The Carolinas, PLLC
Ethicus Hospital Dfw
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Rate Benchmarking
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See a sample payer proposalCPT 82120 vs. Other Chemistry Procedures Codes
The CPT 82120 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 82120 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 |
|---|---|---|
| 82107-CPT | Low | Afp Test Done On Blood Sample, Alpha-Fetoprotein (Afp) Test Done On A Blood Sample. This Test May Be Done As Part Of Prenatal Screening To Detect Fetal Abnormalities Or May Be Used To Detect Certain Cancers Such As Liver Cancer Testicular Cancer Or Ovarian Cancer. |
| 82108-CPT | Low | Screening For Aluminum, This Screening Monitors The Amount Of Aluminum Present In The Blood Or Urine. It Is Used When A Person Is At Risk Of Aluminum Poisoning. |
| 82120-CPT | Low | Test For Vaginal Infection, This Test Helps To Determine The Specific Cause Of Vaginitis And May Be Performed After Negative Testing For Yeasts Or Trichomonas. |
| 82127-CPT | Low | Amino Acid Test, This Test Verifies Whether And Which Amino Acids Are Present In A Blood Or Urine Sample. Amino Acids Help Digest Proteins. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82120 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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