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See a sample rate comparisonCPT 82553 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.55 national lab fee schedule rate (2026) · View Medicare rates for 82553 |
| Medicaid Fee Schedule | $11.405 median of the 8 states in the free preview · View Medicaid rates for 82553 |
National average reimbursement for CPT 82553 by major payers:
$10.02
$12.00
$13.26
$16.76
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CPT 82553
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$35.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.55Published rateNorthwest Texas Healthcare System Inc, Northwest Texas Healthcare System
$9.43Published rateEl Campo Memorial Hospital
$6.76Published rateJacksonville Hospital LLC, Uthealth East Texas Jacksonville Hospital
$3.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82553 vs. Other Chemistry Procedures Codes
The CPT 82553 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 82553 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 |
|---|---|---|
| 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. |
| 82553-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. |
| 82554-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 82553. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82553 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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