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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 | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $10.74 national lab fee schedule rate (2026) · View Medicare rates for 82390 |
| Medicaid Fee Schedule | $10.035 median of the 8 states in the free preview · View Medicaid rates for 82390 |
National average reimbursement for CPT 82390 by major payers:

$9.35

$7.71

$12.51

$15.76
Choose a payer to see a sample of rates for CPT 82390.
Henderson Hospital, LLC, Uthealth East Texas Henderson Hospital
Children'S Hospital
Childrens Hospital Inc
Surgical Specialty Center Of Baton Rouge, LLC, Surgical Specialty Center Of Baton Rouge
Surgical Specialty Center Of Baton Rouge, LLC
Decatur Health Services, LLC
Graham Regional Medical Center, Graham General Hsopital Physicians
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Rate Benchmarking
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See a sample payer proposalCPT 82390 vs. Other Chemistry Procedures Codes
The CPT 82390 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 82390 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 |
|---|---|---|
| 82380-CPT | Low | Vitamin A (Retinol) Test, This Blood Test Measures The Amount Of Vitamin A Present. The Purpose Is To Verify A Vitamin A Deficiency Or Toxicity (Excess). |
| 82387-CPT | Low | Test Breast Cancer Progression, Cathepsin D Is An Enzyme That Tends To Be Present When A Breast Cancer Is Spreading To Other Areas (Metastasizing). The Test Examines A Sample Of Breast Tissue. |
| 82390-CPT | Low | Copper Enzyme Test, The Test Checks Blood And Urine For Ceruloplasmin A Plasma Enzyme. The Test Helps Diagnose Wilsons Disease A Rare Genetic Disease That Causes The Body To Retain Excess Copper. |
| 82465-CPT | Low | Cholesterol Screening, Total Cholesterol Is Measured From A Blood Sample. Cholesterol Testing Is One Measure Of A Persons Risk For Heart Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82390 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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