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See a sample rate comparisonCPT 82465 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.
Cholesterol Screening, Total Cholesterol Is Measured From A Blood Sample. Cholesterol Testing Is One Measure Of A Persons Risk For Heart Disease.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.35 national lab fee schedule rate (2026) · View Medicare rates for 82465 |
| Medicaid Fee Schedule | $4.295 median of the 8 states in the free preview · View Medicaid rates for 82465 |
National average reimbursement for CPT 82465 by major payers:
$3.57
$3.12
$5.47
$6.43
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CPT 82465
5 of 25 sample ratesHigher to lower in this preview
Hemanth Sasidharan Pillai
City Hospital Inc
$11.22Published rateAnjali Bhandarkar
$2.34Published rateRobert Maro
Robert J Maro Md PA
$2.11Published rateBassam Hashem
Apogee Medical Group Of New Jersey PA
$1.98Published rateFaiz Afridi
Allied Digestive Health, LLC
$1.83Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82465 vs. Other Chemistry Procedures Codes
The CPT 82465 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 82465 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 |
|---|---|---|
| 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. |
| 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. |
| 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. |
| 82565-CPT | Low | Kidney Function Test, This Test Measures The Rate At Which The Kidneys Filter Creatinine A Waste Product Of Creatine Which Is An Energy-Supplying Organic Acid. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82465 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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