CPT 82679 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82679 |
| Medicaid Fee Schedule | View Medicaid rates for 82679 |
National average reimbursement for CPT 82679 by major payers:
$22.48
$17.59
$27.91
$36.55
CPT 82679 vs. Other Chemistry Procedures Codes
The CPT 82679 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 82679 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 |
|---|---|---|
| 82677-CPT | Low | Estriol Hormone Test, This Blood Test Measures Estriol Which Is A Form Of Estrogen (A Hormone). It Is Ordered Primarily To Assess Risks Associated With A Pregnancy Genetic Complication Such As Carrying A Fetus With Down Syndrome. |
| 82679-CPT | Low | Estrone Hormone Test, This Blood Test Measures Estrone A Form Of Estrogen. The Test Can Assist Diagnosis Of Conditions Associated With Estrogen Production. These Can Cause Breast Development In Men Ovarian Tumors An Underactive Pituitary Gland Or Turners Syndrome. |
| 82681-CPT | Low | Estradiol; Free Direct Measurement (Eg Equilibrium, Estradiol; Free Direct Measurement (Eg Equilibrium Dialysis) |
| 82705-CPT | Low | Test For Fats In Stool, This Test Checks A Fecal Sample For Excess Fats (Steatorrhea). This Condition Occurs When Enzymes Or Bile Are Not Being Used Properly To Digest Food. Certain Drugs Also Can Increase Fat Excretion. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82679. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82679 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 82679) and we'll show you how you compare in 15 minutes or less.