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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 | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.00 national lab fee schedule rate (2026) · View Medicare rates for 82800 |
| Medicaid Fee Schedule | $10.125 median of the 8 states in the free preview · View Medicaid rates for 82800 |
National average reimbursement for CPT 82800 by major payers:

$8.89

$6.58

$10.50

$16.27
Choose a payer to see a sample of rates for CPT 82800.
Henderson Hospital, LLC, Uthealth East Texas Henderson Hospital
Chca Bayshore Lp, Bayshore Medical Center
Columbia Medical Center Of Mckinney Subsidiary Lp, Medical City Mckinney
Columbia Medical Center Of Mckinney Subsidiary Lp
Christopher Raio
Samaritan Emergency Medical Services PC
Christus Health Ark-La-Tex, Christus St. Michael Health System
Christus Health Arklatex
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 82800 vs. Other Chemistry Procedures Codes
The CPT 82800 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 82800 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 |
|---|---|---|
| 82664-CPT | Low | Lab Analysis Of Fluid, Lab Analysis Of Fluid Using Electrophoresis A Testing Technique That Separates Materials From A Sample. |
| 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. |
| 82785-CPT | Low | Allergy Antibody Test (Ig E), This Antibody Test Checks For The Ig E (Or Immunoglobulin) Antibody Produced During Allergic Reactions Or Anaphylaxis. Ig E Is Measured In A Blood Or Spinal Fluid Sample. |
| 82800-CPT | Low | Blood Acid-Alkaline (Ph) Test, This Is A Basic Test To Find Out If The Blood Is Too Acid Or Too Alkaline (Ph). Normal Blood Should Be Slightly Alkaline. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82800 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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