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See a sample rate comparisonCPT 82415 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.
Antibiotic Monitoring, Lab Blood Test To Ensure Therapeutic Levels Of An Antibiotic. Monitoring Ensures Levels Are High Enough To Treat The Infection But Low Enough To Avoid Toxicity.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory |
| Common Modifiers | None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82415 |
| Medicaid Fee Schedule | View Medicaid rates for 82415 |
National average reimbursement for CPT 82415 by major payers:
$11.47
$9.10
$14.09
$19.22
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CPT 82415
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Overlook
Emerus Bhs Sa Thousand Oaks LLC
$45.00Published rateChristopher Raio
St Joseph Hospital
$16.08Published rateSt Davids Healthcare Partnership Lp LLP, North Austin Medical Center
$12.67Published rateSt Francis Hospital, Inc., St. Francis Eastside
St Francis Hospital Inc
$11.39Published rateChristopher Raio
St Francis Hospital
$6.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82415 vs. Other Chemistry Procedures Codes
The CPT 82415 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 82415 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 |
|---|---|---|
| 82397-CPT | Low | Chemistry Test For Substance, The Chemiluminescence Test Method Mixes Two Chemicals Together And Evaluates The Light Produced By The Mix. The Test Is Used To Identify Substances And Measure Their Amount In The Sample Being Tested. |
| 82415-CPT | Low | Antibiotic Monitoring, Lab Blood Test To Ensure Therapeutic Levels Of An Antibiotic. Monitoring Ensures Levels Are High Enough To Treat The Infection But Low Enough To Avoid Toxicity. |
| 82435-CPT | Low | Chloride Electrolyte Test, This Test Checks A Blood Sample For Chloride. This Is One Of The Cell Salts Essential For Maintaining The Bodys Electrolyte Balance. Typically Chloride Is Absorbed From Table Salt. |
| 82436-CPT | Low | Chloride Electrolyte Test, This Test Checks A Urine Sample For Chloride. This Is One Of The Cell Salts Essential For Maintaining The Bodys Electrolyte Balance. Typically Chloride Is Absorbed From Table Salt. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82415 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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