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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 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $38.50 national lab fee schedule rate (2026) · View Medicare rates for 82652 |
| Medicaid Fee Schedule | $38.02 median of the 8 states in the free preview · View Medicaid rates for 82652 |
National average reimbursement for CPT 82652 by major payers:

$32.06

$28.19

$44.38

$55.98
Choose a payer to see a sample of rates for CPT 82652.
Restorative Health Rehabilitation Inc
All Ways Homecare Inc
Restorative Health Rehabilitation Inc
Childrens National Medical Center
Childrens Hospital
George Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 82652 vs. Other Chemistry Procedures Codes
The CPT 82652 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 82652 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 |
|---|---|---|
| 82397-CPT | Low | Chemistry Test For Substance, The Chemiluminescence Test Method Mixes Two Chemicals Together And Evaluates The Light Produced By The Mix. The Test Is Used To Identify Substances And Measure Their Amount In The Sample Being Tested. |
| 82480-CPT | Low | Nervous System Blood Test, Cholinesterase Is An Enzyme Present In The Blood That Is Essential For A Healthy Nervous System. The Test Is Used Most Often To Assess Exposure To Pesticides That Contain Organophosphates. |
| 82525-CPT | Low | Copper Test, This Test Checks A Sample Of Blood Or Urine For Copper A Mineral Needed In Very Small Amounts To Make Red Blood Cells. |
| 82652-CPT | Low | Test For Vitamin D Deficiency, This Blood Test Measures The Amount Of Vitamin D Present In The Body And The Bodys Ability To Store It. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82652. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82652 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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