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See a sample rate comparisonCPT 82160 Fee Schedule
Last Verified: September 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.
Male Hormone Test, Androsterone Is A Hormone Product Of The Breakdown Of Testosterone. When It Is Out Of Balance Various Secondary Sexual Characteristic Syndromes Can Develop.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82160 |
| Medicaid Fee Schedule | View Medicaid rates for 82160 |
National average reimbursement for CPT 82160 by major payers:
$22.41
$17.84
$26.75
$37.40
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CPT 82160
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$56.21Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$33.73Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$25.29Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$17.47Published rateBsa Hospital LLC
$10.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82160 vs. Other Chemistry Procedures Codes
The CPT 82160 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 82160 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 |
|---|---|---|
| 82154-CPT | Low | Androstanediol Glucuronide |
| 82157-CPT | Low | Androgen Hormone Test, The Test Evaluates Production Of Androgen In Women And Girls. Androgen Is A Hormone Related To Male Secondary Sexual Characteristics Such As Facial And Body Hair. |
| 82160-CPT | Low | Male Hormone Test, Androsterone Is A Hormone Product Of The Breakdown Of Testosterone. When It Is Out Of Balance Various Secondary Sexual Characteristic Syndromes Can Develop. |
| 82310-CPT | Low | Calcium Lab Test, This Test Measures Calcium Levels Which Helps In Diagnosing Some Conditions Such As Parathryoid Disease Bone Disorders And Chronic Renal Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82160 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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