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See a sample rate comparisonCPT 82271 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.
Blood Occult By Peroxidase Activt (Eg Guaiac) Qualitat, Blood Occult By Peroxidase Activity (Eg Guaiac) Qualitative; Other
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82271 |
| Medicaid Fee Schedule | View Medicaid rates for 82271 |
National average reimbursement for CPT 82271 by major payers:
$4.32
$3.93
$5.14
$32.46
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CPT 82271
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.70Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$5.48Published rateChildrens National Medical Center
Childrens Hospital
$5.32Published rateChristopher Raio
St Joseph Hospital
$3.19Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$2.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82271 vs. Other Chemistry Procedures Codes
The CPT 82271 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 82271 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 |
|---|---|---|
| 82252-CPT | Low | Stool Test For Bilirubin, Bilirubin Is A Byproduct Created When Red Blood Cells Break Down. This Test Determines Whether Bilirubin Is Present In A Stool Sample. |
| 82271-CPT | Low | Blood Occult By Peroxidase Activt (Eg Guaiac) Qualitat, Blood Occult By Peroxidase Activity (Eg Guaiac) Qualitative; Other |
| 82272-CPT | Low | Occult Bld Feces 1 3 Tests, Blood Occult By Peroxidase Activity Eg Guaiac Qualitative Feces 1 3 Simultaneous Determinations Performed For Other Than Colorectal Neoplasm Screening |
| 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 82271. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82271 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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