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See a sample rate comparisonCPT 82163 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.
Test Blood Pressure Regulation, The Blood Pressure Regulation Test Measures Production Of Angiotensin Ii. This Compound Is One Of The Peptides (Amino Acid Chain) That Ensures Blood Pressure Is Adequate For Any Given Activity.
| 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 82163 |
| Medicaid Fee Schedule | View Medicaid rates for 82163 |
National average reimbursement for CPT 82163 by major payers:
$18.47
$14.64
$22.78
$30.00
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CPT 82163
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$45.14Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$20.76Published ratePelham Medical Center
$20.52Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Seneca
Prisma Health - Upstate
$18.46Published rateEl Campo Memorial Hospital
$12.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82163 vs. Other Chemistry Procedures Codes
The CPT 82163 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 82163 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 |
|---|---|---|
| 82163-CPT | Low | Test Blood Pressure Regulation, The Blood Pressure Regulation Test Measures Production Of Angiotensin Ii. This Compound Is One Of The Peptides (Amino Acid Chain) That Ensures Blood Pressure Is Adequate For Any Given Activity. |
| 82164-CPT | Low | Enzyme (Ace) Blood Test, This Blood Test Measures Angiotensin I Converting Enzyme (Ace). Ace Enables Blood Vessels To Expand Or Contract. |
| 82306-CPT | Low | Test For Vitamin D Deficiency, This Blood Test Measures The Amount Of Vitamin D Present In The Body And The Bodys Ability To Store It. |
| 82378-CPT | Low | Cea (Tumor Marker) Test, This Test Measures The Level Of Cea (Carcinoembryonic Antigen) In The Body. This Is A Protein That May Be Found In Blood Or Other Body Fluids When A Tumor Is Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82163. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82163 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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