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See a sample rate comparisonCPT 82274 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.
Assay Test For Blood Fecal, Blood Occult By Fecal Hemoglobin Determination By Immunoassay Qualitative Feces 1 3 Simultaneous Determinations
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None QW - CLIA Waived Tests 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82274 |
| Medicaid Fee Schedule | View Medicaid rates for 82274 |
National average reimbursement for CPT 82274 by major payers:
$14.96
$15.10
$19.52
$32.49
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CPT 82274
5 of 25 sample ratesHigher to lower in this preview
St Lukes Community Development Corporation, St Lukes Sugar Land Hospital
St Lukes Community Development Corporation-Sugar Land
$29.45Published rateAthens Hospital, LLC
$15.92Published rateOur Lady Of The Angels Hospital, Inc., Our Lady Of The Angels Hospital
Our Lady Of The Angels Hospital Inc
$15.92Published rateGainesville Community Hospital, Inc., North Texas Medical Center
Gainesville Community Hospital Inc
$13.93Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$5.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82274 vs. Other Chemistry Procedures Codes
The CPT 82274 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 82274 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. |
| 82270-CPT | Low | Pathology Stool Exam, Blood Occult By Peroxidase Activity (Eg Guaiac) Qualitative; Feces Consecutive Collected Specimens With Single Determination For Colorectal Neoplasm Screening (Ie Patient Was Provided Three Cards Or Single Triple Card For Consecutive Collection) |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82274. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82274 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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