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See a sample rate comparisonCPT 82272 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.
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
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82272 |
| Medicaid Fee Schedule | View Medicaid rates for 82272 |
National average reimbursement for CPT 82272 by major payers:
$3.94
$3.46
$4.93
$30.78
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CPT 82272
5 of 25 sample ratesHigher to lower in this preview
Foundation Bariatric Hospital Of San Antonio, LLC, Foundation Surgical Hospital Of San Antonio
Foundation Bariatric Hospital Of San Antonio, LLC
$97.50Published rateMatagorda County Hospital District, Matagorda Regional Medical Center
Matagorda County Hospital District
$4.23Published rateHospital Service District No. 1 Of Caldwell Parish, Citizens Medical Center
Citizens Medical Center
$4.23Published rateThe Good Shepherd Hospital, Inc., Christus Good Shepherd Medical Center - Longview
Good Shepherd Hospital Inc
$2.76Published rateEl Campo Memorial Hospital
$2.53Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82272 vs. Other Chemistry Procedures Codes
The CPT 82272 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 82272 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 |
|---|---|---|
| 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 |
| 82274-CPT | Low | Assay Test For Blood Fecal, Blood Occult By Fecal Hemoglobin Determination By Immunoassay Qualitative Feces 1 3 Simultaneous Determinations |
| 82331-CPT | Low | Calcium Lab Test, This Test Measures Calcium Levels Which Helps In Diagnosing Some Conditions Such As Parathryoid Disease Bone Disorders And Chronic Renal Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82272 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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