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See a sample rate comparisonCPT 82626 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.
Dhea Hormone Test, Dhea (Dehydroepiandrosterone) Is A Hormone Made By The Body That Affects Development Of Primary And Secondary Sexual Characteristics. Dhea Can Be Measured In Blood Urine Or Amniotic Fluid. Results Relate To Adrenal Gland Health Or Possibly Other Conditions.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $25.27 national lab fee schedule rate (2026) · View Medicare rates for 82626 |
| Medicaid Fee Schedule | $23.87 median of the 8 states in the free preview · View Medicaid rates for 82626 |
National average reimbursement for CPT 82626 by major payers:
$21.83
$18.17
$28.88
$37.18
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CPT 82626
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$37.91Published rateChca Clear Lake Lp, Hca Houston Healthcare Clear Lake
$25.27Published rateEast Cooper Community Hospital, Inc., East Cooper Medical Center
$25.27Published rateChristopher Raio
St Francis Hospital
$15.16Published rateChristopher Raio
St Joseph Hospital
$13.65Published rate
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See a sample payer proposalCPT 82626 vs. Other Chemistry Procedures Codes
The CPT 82626 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 82626 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 |
|---|---|---|
| 82626-CPT | Low | Dhea Hormone Test, Dhea (Dehydroepiandrosterone) Is A Hormone Made By The Body That Affects Development Of Primary And Secondary Sexual Characteristics. Dhea Can Be Measured In Blood Urine Or Amniotic Fluid. Results Relate To Adrenal Gland Health Or Possibly Other Conditions. |
| 82627-CPT | Low | Dhea Hormone Test, Dhea (Dehydroepiandrosterone) Is A Hormone Made By The Body That Affects Development Of Primary And Secondary Sexual Characteristics. Dhea Can Be Measured In Blood Urine Or Amniotic Fluid. Results Relate To Adrenal Gland Health Or Possibly Other Conditions. |
| 82633-CPT | Low | Adrenal Hormone Test, Desoxycorticosterone-11 Is A Hormone Made In The Adrenal Glands. It Is Involved In The Process Of Converting Nutrients To Energy That Individual Cells Can Use. The Test Can Indicate Hormone Imbalance. |
| 82634-CPT | Low | Adrenal Cortex Evaluation, The Adrenal Cortex Is The Outer Portion Of The Adrenal Gland. This Evaluation Looks At A Chain Of Events That Synthesize Cortisol From Carbohydrates. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82626. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82626 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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