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See a sample rate comparisonCPT 82658 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.
Enzyme Evaluation, Enzymes Are Substances That Assist Chemical Activity Within The Body. They Perform A Variety Of Tasks Related To Enabling Processes. Enzyme Evaluations May Check The Quantity Available Amount Being Produced Or Amount Used By A 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 | $44.03 national lab fee schedule rate (2026) · View Medicare rates for 82658 |
| Medicaid Fee Schedule | $40.51 median of the 8 states in the free preview · View Medicaid rates for 82658 |
National average reimbursement for CPT 82658 by major payers:
$32.16
$21.31
$39.53
$60.65
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CPT 82658
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$96.87Published ratePrisma Health-Upstate, Prisma Health Ob/Gyn Clinic
Prisma Health - Upstate
$39.63Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$24.75Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$17.62Published rateChristus Spohn Health System Corporation, Christus Spohn Hospital Kleberg
C H Wilkinson Physician Network
$10.34Published rate
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See a sample payer proposalCPT 82658 vs. Other Chemistry Procedures Codes
The CPT 82658 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 82658 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. |
| 82465-CPT | Low | Cholesterol Screening, Total Cholesterol Is Measured From A Blood Sample. Cholesterol Testing Is One Measure Of A Persons Risk For Heart Disease. |
| 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. |
| 82658-CPT | Low | Enzyme Evaluation, Enzymes Are Substances That Assist Chemical Activity Within The Body. They Perform A Variety Of Tasks Related To Enabling Processes. Enzyme Evaluations May Check The Quantity Available Amount Being Produced Or Amount Used By A Process. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82658. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82658 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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