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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 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.20 national lab fee schedule rate (2026) · View Medicare rates for 82760 |
| Medicaid Fee Schedule | $10.305 median of the 8 states in the free preview · View Medicaid rates for 82760 |
National average reimbursement for CPT 82760 by major payers:

$9.97

$7.88

$11.95

$16.63
Choose a payer to see a sample of rates for CPT 82760.
Citizens Medical Center County Of Victoria, County Of Victoria Citizens Medical Center
Scurry County Hospital District, Cogdell Memorial Hospital
Scurry County Hospital District
Vhs Brownsville Hospital Company LLC, Valley Baptist Medical Center - Brownsville
Christopher Raio
Samaritan Emergency Medical Services PC
Bsa Hospital LLC
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Rate Benchmarking
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See a sample payer proposalCPT 82760 vs. Other Chemistry Procedures Codes
The CPT 82760 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 82760 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 |
|---|---|---|
| 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. |
| 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. |
| 82757-CPT | Low | Semen Analysis For Fructose, Fructose Is Discharged From The Seminal Vesicles Along With Sperm. This Test Follows A Semen Analysis That Shows Few Sperm Present. Absence Of Fructose Indicates A Blockage In The Seminal Vesicles. |
| 82760-CPT | Low | Liver Health Assessment, Galactose Testing Measures Both A Blood And A Urine Sample. This Test Is Generally Given To Assess Liver Health Prior To Sectioning Or Transplant. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82760 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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