CPT 82693 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 | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82693 |
| Medicaid Fee Schedule | View Medicaid rates for 82693 |
National average reimbursement for CPT 82693 by major payers:
$13.39
$11.68
$16.39
$22.49
CPT 82693 vs. Other Chemistry Procedures Codes
The CPT 82693 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 82693 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 |
|---|---|---|
| 82672-CPT | Low | Estrogen Level Test, The Test Measures Estrogen From Blood And Urine Samples. It Is Ordered Primarily To Assess Sexual Development Fertility Menstruation And Menopause. |
| 82693-CPT | Low | Antifreeze Toxin Screening, This Lab Test Verifies Whether Antifreeze (Ethylene Glycol) Has Been Ingested. Antifreeze Is A Common Source Of Poisoning Among Children. |
| 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. |
| 82710-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 82693. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82693 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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