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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 |
| Common Modifiers | None 91 - Repeat Lab Test 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82190 |
| Medicaid Fee Schedule | View Medicaid rates for 82190 |
National average reimbursement for CPT 82190 by major payers:

$13.85

$14.67

$16.61

$23.83
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Good Samaritan Hosptial Medical Center
Prisma Health - Upstate
The Orthopedic And Neurosurgical Center Of The Cascades
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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 82190 vs. Other Chemistry Procedures Codes
The CPT 82190 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 82190 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. |
| 82190-CPT | Low | Test For Metal Toxicity, This Test Analyzes Metal Content In Bodily Fluids And Tissues. The Analysis Is Performed Using An Instrument Known As An Atomic Absorption Spectrometer. |
| 82360-CPT | Low | Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates. |
| 82365-CPT | Low | Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82190 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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