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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 | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82135 |
| Medicaid Fee Schedule | View Medicaid rates for 82135 |
National average reimbursement for CPT 82135 by major payers:

$14.53

$11.62

$18.60

$24.07
Choose a payer to see a sample of rates for CPT 82135.
Chi St Lukes Health Baylor College Of Medicine Medical Center
Merrimack Valley Pediatric Associates, Inc.
Georgetown Memorial Hospital
Serge Lartchenko Md PLLC
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Rate Benchmarking
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See a sample payer proposalCPT 82135 vs. Other Chemistry Procedures Codes
The CPT 82135 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 82135 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. |
| 82128-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. |
| 82135-CPT | Low | Aminolevulinic Acid, Delta (Ala) |
| 82136-CPT | Low | Amino Acid Test, This Test Measures The Quantity Of One Or More Amino Acids 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 82135. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82135 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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