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See a sample rate comparisonCPT 82656 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.
Pancreas Function Test, The Test Measures Elastase In A Fecal Sample. This Enzyme Is Released By The Healthy Pancreas During The Digestive Process.
| 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 | $11.53 national lab fee schedule rate (2026) · View Medicare rates for 82656 |
| Medicaid Fee Schedule | $11.385 median of the 8 states in the free preview · View Medicaid rates for 82656 |
National average reimbursement for CPT 82656 by major payers:
$9.72
$8.27
$12.98
$41.50
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CPT 82656
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$25.37Published rateChristopher Raio
Mercy Medical Center
$11.98Published rateCatherine Lee
Columbus Arthritis Center
$9.91Published rateChristopher Raio
Mercy Medical Center
$6.92Published rateMark Vital
Hea Clinic, P.A., Dba Houston Eye Associates
$4.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82656 vs. Other Chemistry Procedures Codes
The CPT 82656 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 82656 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 |
|---|---|---|
| 82507-CPT | Low | Citrate |
| 82523-CPT | Low | Collagen Cross-Link Test, This Test Evaluates Collagen For Cross-Links. This Indicates The Health Of Bone Structure And Bone Creation. It Is Related To Parathyroid Gland Function And Osteoporosis. |
| 82530-CPT | Low | Cortisol Hormone Test, This Test Screens For Cushings Syndrome (Too Much Cortisol) And Addisons Disease (Too Little Cortisol). Cortisol Is A Hormone That Plays A Major Role In The Bodys Stress Response. |
| 82656-CPT | Low | Pancreas Function Test, The Test Measures Elastase In A Fecal Sample. This Enzyme Is Released By The Healthy Pancreas During The Digestive Process. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82656. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82656 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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