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See a sample rate comparisonCPT 82696 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.
Male Steroid Hormone Test, Epiandrosterone And Etiocholanolone Are Both Produced By Androsterone A Hormone Responsible For Secondary Male Characteristics. Tests Measure These When Evaluating Imbalances In Androsterone.
| 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 |
| Complexity Level | Low |
| Medicare Fee Schedule | $26.24 national lab fee schedule rate (2026) · View Medicare rates for 82696 |
| Medicaid Fee Schedule | $24.14 median of the 8 states in the free preview · View Medicaid rates for 82696 |
National average reimbursement for CPT 82696 by major payers:
$22.25
$17.39
$26.71
$37.77
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CPT 82696
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$57.73Published rateChristopher Raio
Mercy Medical Center
$31.17Published ratePrisma Health-Upstate
Prisma Health - Upstate
$23.62Published rateAnn Steck
$15.74Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$9.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82696 vs. Other Chemistry Procedures Codes
The CPT 82696 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 82696 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 |
|---|---|---|
| 82696-CPT | Low | Male Steroid Hormone Test, Epiandrosterone And Etiocholanolone Are Both Produced By Androsterone A Hormone Responsible For Secondary Male Characteristics. Tests Measure These When Evaluating Imbalances In Androsterone. |
| 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. |
| 82715-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. |
| 82725-CPT | Low | Fatty Acid Blood Test, This Test Specifically Measures Nonesterified Fatty Acids (Nefa) In A Blood Sample. These Are Fatty Acids That Have Not Attached To Enzymes Or Other Substances. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82696. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82696 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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