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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.32 national lab fee schedule rate (2026) · View Medicare rates for 82375 |
| Medicaid Fee Schedule | $12.165 median of the 8 states in the free preview · View Medicaid rates for 82375 |
National average reimbursement for CPT 82375 by major payers:

$10.38

$8.33

$13.82

$18.54
Choose a payer to see a sample of rates for CPT 82375.
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Kelly
Emerus Bhs Sa Thousand Oaks LLC
San Antonio Vamc, Kerrville Vamc
Resolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
Fairfield Hospital District, Freestone Medical Center
Ector County Hospital District, Medical Center Hospital
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample payer proposalCPT 82375 vs. Other Chemistry Procedures Codes
The CPT 82375 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 82375 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 |
|---|---|---|
| 82374-CPT | Low | Blood Acid-Alkaline (Ph) Test, This Is A Basic Test To Find Out If The Blood Is Too Acid Or Too Alkaline (Ph). Normal Blood Should Be Slightly Alkaline. |
| 82375-CPT | Low | Carbon Monoxide Blood Test, This Test Measures The Amount Of Carbon Monoxide (Co) Present In A Blood Sample. The Test Is Given To Individuals Suspected To Have Co Poisoning. |
| 82378-CPT | Low | Cea (Tumor Marker) Test, This Test Measures The Level Of Cea (Carcinoembryonic Antigen) In The Body. This Is A Protein That May Be Found In Blood Or Other Body Fluids When A Tumor Is Present. |
| 82379-CPT | Low | Carnitine Amino Acid Test, This Test Measures A Blood Sample And A Urine Sample For Carnitine A Group Of Amino Acids Critical For Cellular Energy Production. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82375. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82375 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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