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See a sample rate comparisonCPT 82360 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.
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 | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82360 |
| Medicaid Fee Schedule | View Medicaid rates for 82360 |
National average reimbursement for CPT 82360 by major payers:
$11.36
$9.14
$14.38
$18.80
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CPT 82360
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks LLC
$45.00Published rateEmerus Bhs Sa Thousand Oaks LLC
$12.86Published rateLexington County Health Services District Inc, Lexington Medical Center
Lexington Health Inc
$12.86Published rateSmithville Hospital Authority, Smithville Regional Hospital
$7.55Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$4.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82360 vs. Other Chemistry Procedures Codes
The CPT 82360 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 82360 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 |
|---|---|---|
| 82190-CPT | Low | Test For Metal Toxicity, This Test Analyzes Metal Content In Bodily Fluids And Tissues. The Analysis Is Performed Using An Instrument Known As An Atomic Absorption Spectrometer. |
| 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. |
| 82370-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 82360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82360 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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