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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 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82585 |
| Medicaid Fee Schedule | View Medicaid rates for 82585 |
National average reimbursement for CPT 82585 by major payers:

$10.99

$7.87

$13.58

$20.05
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Merrimack Valley Pediatric Associates, Inc.
Samaritan Emergency Medical Services PC
Jones County Regional Healthcare System
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Rate Benchmarking
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See a sample payer proposalCPT 82585 vs. Other Chemistry Procedures Codes
The CPT 82585 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 82585 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 |
|---|---|---|
| 82441-CPT | Low | Pesticide Exposure Test, The Test Looks For Chlorinated Hydrocarbons Which Are Used Commonly In Pesticides. Their Presence In High Numbers Is A Confirmation Of Toxic Exposure. They Can Affect The Health Of The Nervous System. |
| 82585-CPT | Low | Cold Intolerance Testing, Cryofibrinogen Is A Blood Protein That Clumps Together When It Is Colder Than Body Temperature. The Test Evaluates A Person For An Unusual Sensitivity To Cold. |
| 82595-CPT | Low | Cold Blood Protein Test, Cryoglobulin Is An Abnormal Blood Protein That Clumps When It Gets Cold. It Is Linked To A Few Infections And Autoimmune Conditions. The Test Provides Information About The Symptoms Related To A Disease Process. |
| 82610-CPT | Low | Blood Protein Marker Test, The Test Measures Cystatin C A Blood Protein Marker. The Amount Of This Protein Indicates The Health Of The Kidneys And How Well The Kidneys Filtration System Is Working. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82585. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82585 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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