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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 21 - Inpatient Hospital |
| Common Modifiers | None 90 - Reference Laboratory 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82528 |
| Medicaid Fee Schedule | View Medicaid rates for 82528 |
National average reimbursement for CPT 82528 by major payers:

$20.01

$16.95

$25.47

$33.62
Choose a payer to see a sample of rates for CPT 82528.
Good Samaritan Hosptial Medical Center
Prisma Health - Upstate
Samaritan Emergency Medical Services PC
Hroa 401k Plan
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Rate Benchmarking
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See a sample payer proposalCPT 82528 vs. Other Chemistry Procedures Codes
The CPT 82528 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 82528 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 |
|---|---|---|
| 82525-CPT | Low | Copper Test, This Test Checks A Sample Of Blood Or Urine For Copper A Mineral Needed In Very Small Amounts To Make Red Blood Cells. |
| 82528-CPT | Low | Steroid Hormone Test, Corticosterone Is A Steroid Hormone Involved In The Conversion Of Cholesterol To Cortisol In The Adrenal Gland. The Test Helps To Evaluate Adrenal Gland Function. |
| 82530-CPT | Low | Cortisol Hormone Test, This Test Screens For Cushings Syndrome (Too Much Cortisol) And Addisons Disease (Too Little Cortisol). Cortisol Is A Hormone That Plays A Major Role In The Bodys Stress Response. |
| 82633-CPT | Low | Adrenal Hormone Test, Desoxycorticosterone-11 Is A Hormone Made In The Adrenal Glands. It Is Involved In The Process Of Converting Nutrients To Energy That Individual Cells Can Use. The Test Can Indicate Hormone Imbalance. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82528. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82528 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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