CPT 82552 Fee Schedule
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.
| 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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82552 |
| Medicaid Fee Schedule | View Medicaid rates for 82552 |
National average reimbursement for CPT 82552 by major payers:
$11.69
$9.53
$15.06
$20.08
CPT 82552 vs. Other Chemistry Procedures Codes
The CPT 82552 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 82552 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 |
|---|---|---|
| 82383-CPT | Low | Stress Hormone Test, A Lab Test For Catecholamines (Blood Or 24-Hour Urine Sample) Is Often Performed To Help Diagnose An Adrenal Gland Tumor Or Other Condition. Catecholamines Are Stress Response Hormones Such As Epinephrine Norepinephrine And Dopamine. |
| 82384-CPT | Low | Stress Hormone Test, A Lab Test For Catecholamines (Blood Or 24-Hour Urine Sample) Is Often Performed To Help Diagnose An Adrenal Gland Tumor Or Other Condition. Catecholamines Are Stress Response Hormones Such As Epinephrine Norepinephrine And Dopamine. |
| 82550-CPT | Low | Enzyme (Cpk) Blood Test, This Blood Test Measures The Level Of Creatine Phosphokinase (Cpk) An Enzyme In The Brain Heart Lungs And Skeletal Tissue. Testing Can Confirm An Injury And Identify Damaged Tissue. |
| 82552-CPT | Low | Enzyme (Cpk) Blood Test, This Blood Test Measures The Level Of Creatine Phosphokinase (Cpk) An Enzyme In The Brain Heart Lungs And Skeletal Tissue. Testing Can Confirm An Injury And Identify Damaged Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82552 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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