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See a sample rate comparisonCPT 82143 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.
Analysis Of Amniotic Fluid, The Amniotic Fluid Scan For Bilirubin Checks For Maternal-Fetal Blood Incompatibility Or The Presence Of A Blood Disease In The Fetus. Bilirubin Is A Pigment Created When Blood Cells Break Down.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.35 national lab fee schedule rate (2026) · View Medicare rates for 82143 |
| Medicaid Fee Schedule | $9.235 median of the 8 states in the free preview · View Medicaid rates for 82143 |
National average reimbursement for CPT 82143 by major payers:
$7.66
$5.98
$9.84
$13.70
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CPT 82143
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateChristopher Raio
St Francis Hospital
$9.41Published rateKph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
$9.35Published rateTenet Hospitals Limited, The Hospitals Of Providence Memorial Campus
$9.35Published rateGonzales Healthcare Systems
$4.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82143 vs. Other Chemistry Procedures Codes
The CPT 82143 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 82143 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 |
|---|---|---|
| 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. |
| 82143-CPT | Low | Analysis Of Amniotic Fluid, The Amniotic Fluid Scan For Bilirubin Checks For Maternal-Fetal Blood Incompatibility Or The Presence Of A Blood Disease In The Fetus. Bilirubin Is A Pigment Created When Blood Cells Break Down. |
| 82240-CPT | Low | Cholylglycine (Bile Acid) Test, A Bile Acid Test May Specifically Measure Cholylglycine. This Acid Is Useful As An Indicator Of Liver Injury From Cirrhosis Or Hiv. |
| 82373-CPT | Low | Carbohydrate Deficient Transferrin |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82143. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82143 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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