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See a sample rate comparisonCPT 82575 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 | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.46 national lab fee schedule rate (2026) · View Medicare rates for 82575 |
| Medicaid Fee Schedule | $9.34 median of the 8 states in the free preview · View Medicaid rates for 82575 |
National average reimbursement for CPT 82575 by major payers:
$8.10
$6.70
$11.09
$13.61
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CPT 82575
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks LLC, Baptist Neighborhood Hospital Shavano Park
Emerus Bhs Sa Thousand Oaks LLC
$24.00Published rateTenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$9.46Published rateBsa Hospital LLC
$9.46Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$7.71Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$3.58Published rate
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See a sample payer proposalCPT 82575 vs. Other Chemistry Procedures Codes
The CPT 82575 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 82575 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 |
|---|---|---|
| 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. |
| 82507-CPT | Low | Citrate |
| 82575-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. |
| 82600-CPT | Low | Test For Exposure To Cyanide, Cyanide Is Poisonous In Both Its Gas And Solid (Salt) Forms. The Test Detects Contact With Toxic Amounts. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82575 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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