CPT 82232 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Chemistry Procedures Pathology and Laboratory 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 82232 |
National average reimbursement for CPT 82232 by major payers:
$14.24
$11.66
$19.38
$23.61
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 82232 | $6.80 | 1598473092 - MONICA DHADUK | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Medical Physician Assistant (363AM0700X) |
United | 82232 | $9.71 | 1942643754 - MONICA CHATWAL | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | GA | Student in an Organized Health Care Education/Training Program (390200000X) |
United | 82232 | $13.43 | 1548887607 - SHAWNA LEE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | 82232 | $6.80 | 1598473092 - MONICA DHADUK | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Medical Physician Assistant (363AM0700X) |
United | 82232 | $8.25 | 1801029442 - ELIZABETH MILLER-BOOSTANI | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 82232 | $18.61 | 1619965852 - MARY METOTT | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Nurse Practitioner (363L00000X) |
United | 82232 | $6.80 | 1316777279 - ASHLEY LAMONICA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | 82232 | $9.71 | 1548391980 - ROGERIO NEVES | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Plastic Surgery Physician (208200000X) |
United | 82232 | $7.76 | 1528054368 - TATYANA ANTONEVICH | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Pulmonary Disease Physician (207RP1001X) |
United | 82232 | $6.80 | 1588758403 - STEPHANIE HIGBY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physician Assistant (363A00000X) |
United | 82232 | $13.43 | 1174511315 - RALPH LOTT | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Optometrist (152W00000X) |
United | 82232 | $6.80 | 1003472481 - KATHERINE SCHULZ | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Medical Physician Assistant (363AM0700X) |
United | 82232 | $9.71 | 1598799413 - RAJ PASPULATI | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 82232 | $6.80 | 1255503686 - KIMBERLY HURLEY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 82232 | $6.80 | 1770513665 - MAUREEN QUATTRONE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Medical Physician Assistant (363AM0700X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 82232 vs. Other Pathology and Laboratory Procedures Codes
The CPT 82232 code is part of the Chemistry Procedures services used for Pathology and Laboratory 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 82232 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 |
|---|---|---|
| 82172-CPT | Low | Cholesterol Protein Test, Apolipoproteins And Lipoproteins Influence Cholesterol. Apolipoproteins Help Manage Fats And Proteins And Can Be Influenced By Genetics. Lipoproteins Help Build Cell And Tissue Structures. |
| 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. |
| 82232-CPT | Low | Cell Protein Test, Beta-2 Microglobulin Is A Protein Found On The Surface Of Many Cells Especially White Blood Cells. Increased Amounts Can Signal Changes Related To A Variety Of Diseases And Organ Function. The Test Measures A Sample Of Blood Alkalized Urine Or Spinal Fluid. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82232. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82232 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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