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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 | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $29.28 national lab fee schedule rate (2026) · View Medicare rates for 82634 |
| Medicaid Fee Schedule | $26.94 median of the 8 states in the free preview · View Medicaid rates for 82634 |
National average reimbursement for CPT 82634 by major payers:

$25.50

$20.96

$31.60

$42.71
Choose a payer to see a sample of rates for CPT 82634.
Christopher Raio
St Joseph Hospital
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Chca Pearland, L.P., Hca Houston Healthcare Pearland
Smithville Hospital Authority, Smithville Regional Hospital
Mcallen Hospitals L P, South Texas Health System
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Rate Benchmarking
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See a sample payer proposalCPT 82634 vs. Other Chemistry Procedures Codes
The CPT 82634 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 82634 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 |
|---|---|---|
| 82384-CPT | Low | Stress Hormone Test, A Lab Test For Catecholamines (Blood Or 24-Hour Urine Sample) Is Often Performed To Help Diagnose An Adrenal Gland Tumor Or Other Condition. Catecholamines Are Stress Response Hormones Such As Epinephrine Norepinephrine And Dopamine. |
| 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. |
| 82528-CPT | Low | Steroid Hormone Test, Corticosterone Is A Steroid Hormone Involved In The Conversion Of Cholesterol To Cortisol In The Adrenal Gland. The Test Helps To Evaluate Adrenal Gland Function. |
| 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 82634. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82634 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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