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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 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $18.97 national lab fee schedule rate (2026) · View Medicare rates for 82175 |
| Medicaid Fee Schedule | $17.455 median of the 8 states in the free preview · View Medicaid rates for 82175 |
National average reimbursement for CPT 82175 by major payers:

$16.67

$13.41

$21.94

$27.52
Choose a payer to see a sample of rates for CPT 82175.
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Horizon City Campus
Hcn Ep Horizon City LLC
Scurry County Hospital District, Cogdell Memorial Hospital
Scurry County Hospital District
Jacksonville Hospital LLC, Uthealth East Texas Jacksonville Hospital
Resolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
East Texas Medical Center Athens
Etx Successor Athens
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 82175 vs. Other Chemistry Procedures Codes
The CPT 82175 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 82175 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 |
|---|---|---|
| 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. |
| 82140-CPT | Low | Ammonia |
| 82175-CPT | Low | Screening For Arsenic Exposure, Arsenic Is A Metallic Element That Is Toxic In Large Amounts. Its Presence And Quantity Is Detected In A Blood Or Urine (Preferred) Sample. |
| 82286-CPT | Low | Bradykinin Test, This Test Measures The Amount Of The Peptide Bradykinin Which Plays A Role In Inflammation And Pain And Dilates Blood Vessels. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82175 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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