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See a sample rate comparisonCPT 82565 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.
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.
| 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 | $5.12 national lab fee schedule rate (2026) · View Medicare rates for 82565 |
| Medicaid Fee Schedule | $5.055 median of the 8 states in the free preview · View Medicaid rates for 82565 |
National average reimbursement for CPT 82565 by major payers:
$3.96
$3.65
$6.47
$7.47
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CPT 82565
5 of 25 sample ratesHigher to lower in this preview
Serena Wong
Westchester Medical Center Advanced Physician Services PC
$16.07Published rateSoumya Vijayalekshmy
St Marys Regional Medical Center
$3.06Published rateHiten Amin
$2.75Published rateBerhanu Melka
Nj Acute Care Specialists Professional Corporation
$2.50Published rateRupa Mongia
Spectrum Medical Associates LLC
$2.32Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82565 vs. Other Chemistry Procedures Codes
The CPT 82565 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 82565 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 |
|---|---|---|
| 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. |
| 82438-CPT | Low | Chloride Electrolyte Test, This Test Checks A Body Fluid For Chloride. This Is One Of The Cell Salts Essential For Maintaining The Bodys Electrolyte Balance. Typically Chloride Is Absorbed From Table Salt. |
| 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 82565. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82565 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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Frequently Asked Questions
To find out the specific cost of a medical procedure based on a CPT code for your particular location, you should use a specialized price transparency tool. We recommend Payerprice, which offers a fee schedule lookup tool where you can search with specific CPT codes and your location to obtain relevant pricing information for your situation.