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See a sample rate comparisonCPT 82355 Fee Schedule
Last Verified: October 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.
Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.58 national lab fee schedule rate (2026) · View Medicare rates for 82355 |
| Medicaid Fee Schedule | $11.435 median of the 8 states in the free preview · View Medicaid rates for 82355 |
National average reimbursement for CPT 82355 by major payers:
$10.26
$8.25
$12.82
$16.87
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CPT 82355
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.58Published rateChca Clear Lake Lp, Hca Houston Healthcare Clear Lake
$11.57Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$9.69Published rateSerge Lartchenko M.D., PLLC
Serge Lartchenko Md PLLC
$6.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82355 vs. Other Chemistry Procedures Codes
The CPT 82355 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 82355 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 |
|---|---|---|
| 82310-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. |
| 82355-CPT | Low | Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates. |
| 82360-CPT | Low | Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates. |
| 82365-CPT | Low | Kidney Stone Analysis, This Test Analyzes Kidney Stones For The Presence Of Calcium Carbonate Cystine Magnesium Oxalate Phosphates And Urates. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82355. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82355 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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