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See a sample rate comparisonCPT 82775 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.
Milk Digestion Enzyme Test, Galactosemia Screening Usually Is Given To Newborns. The Purpose Is To Check For Deficiency Of Enzymes Needed To Digest Lactose (Milk Sugar).
| 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 | $21.07 national lab fee schedule rate (2026) · View Medicare rates for 82775 |
| Medicaid Fee Schedule | $19.385 median of the 8 states in the free preview · View Medicaid rates for 82775 |
National average reimbursement for CPT 82775 by major payers:
$18.68
$14.88
$21.95
$31.19
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CPT 82775
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Kelly
Emerus Bhs Sa Thousand Oaks LLC
$60.00Published rateChristopher Raio
St Joseph Hospital
$27.81Published rateVhs San Antonio Partners, LLC
$21.06Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$13.10Published rateEctor County Hospital District, Medical Center Hospital
$8.85Published rate
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See a sample payer proposalCPT 82775 vs. Other Chemistry Procedures Codes
The CPT 82775 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 82775 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 |
|---|---|---|
| 82759-CPT | Low | Milk Sugar Digestion Test, This Blood Test Identifies A Deficiency Of Galactokinase An Enzyme Needed To Digest Milk Sugars. A Deficiency Is Related To Lactose Intolerance In Infants. |
| 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. |
| 82775-CPT | Low | Milk Digestion Enzyme Test, Galactosemia Screening Usually Is Given To Newborns. The Purpose Is To Check For Deficiency Of Enzymes Needed To Digest Lactose (Milk Sugar). |
| 82776-CPT | Low | Milk Digestion Enzyme Test, Galactosemia Screening Usually Is Given To Newborns. The Purpose Is To Check For Deficiency Of Enzymes Needed To Digest Lactose (Milk Sugar). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82775. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82775 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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