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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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82240 |
| Medicaid Fee Schedule | View Medicaid rates for 82240 |
National average reimbursement for CPT 82240 by major payers:

$22.80

$19.10

$27.31

$38.55
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Merrimack Valley Pediatric Associates, Inc.
Mercy Medical Center
Hcn Ep Horizon City LLC
St Joseph Hospital
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Rate Benchmarking
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See a sample payer proposalCPT 82240 vs. Other Chemistry Procedures Codes
The CPT 82240 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 82240 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 |
|---|---|---|
| 82239-CPT | Low | Blood Bile Acid Test, This Test Measures The Amount Of Bile Acids Present In The Blood. Bile Acids Play An Important Role In Digestion. If Their Numbers In The Blood Increase This Suggests The Livers Ability To Function Is Reduced. |
| 82240-CPT | Low | Cholylglycine (Bile Acid) Test, A Bile Acid Test May Specifically Measure Cholylglycine. This Acid Is Useful As An Indicator Of Liver Injury From Cirrhosis Or Hiv. |
| 82247-CPT | Low | Blood Test For Bilirubin, Bilirubin Is A Byproduct Created When Red Blood Cells Break Down. Tests Measure All Bilirubin Or The Amount Absorbed Into The Liver And Assess Liver And Gall Bladder Function. |
| 82248-CPT | Low | Blood Test For Bilirubin, Bilirubin Is A Byproduct Created When Red Blood Cells Break Down. Tests Measure All Bilirubin Or The Amount Absorbed Into The Liver And Assess Liver And Gall Bladder Function. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82240 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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