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See a sample rate comparisonHealthcare 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 | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.65 national lab fee schedule rate (2026) · View Medicare rates for 82747 |
| Medicaid Fee Schedule | $17.43 median of the 8 states in the free preview · View Medicaid rates for 82747 |
National average reimbursement for CPT 82747 by major payers:

$15.12

$12.66

$19.34

$25.72
Choose a payer to see a sample of rates for CPT 82747.
Da Pediatric Rehabilitation
Christopher Raio
St Francis Hospital
Prisma Health-Upstate, Prisma Health Transplant Center
Prisma Health - Upstate
Michael Shuler
Athens Orthopedic Clinic, P.A.
Baycare Home Care, Inc.
Baycare Home Care Inc
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Rate Benchmarking
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See a sample payer proposalCPT 82747 vs. Other Chemistry Procedures Codes
The CPT 82747 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 82747 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 |
|---|---|---|
| 82668-CPT | Low | Kidney Hormone Blood Test, This Blood Test (Epo) Checks The Quantity Of Erythropoietin. The Kidneys Release The Hormone When Triggered By Low Blood Oxygen Levels. The Test Is Helpful In Assessing Anemia And Bone Marrow Disorders. |
| 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. |
| 82728-CPT | Low | Ferritin Protein Test For Iron, Ferritin Is A Cell Protein That Stores Iron For Later Use. Test Results Indicate The Amount Of Iron In The Blood. |
| 82747-CPT | Low | Folic Acid Blood Test, Folic Acid Is A B Vitamin. It Affects Red Blood Cell (Rbc) Health And The Ability To Absorb And Retain Iron. Tests Measure The Total Amount Of Folic Acid In The Blood Or The Amount In Rbcs. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82747. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82747 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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