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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 11 - Office |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.77 national lab fee schedule rate (2026) · View Medicare rates for 82810 |
| Medicaid Fee Schedule | $9.23 median of the 8 states in the free preview · View Medicaid rates for 82810 |
National average reimbursement for CPT 82810 by major payers:

$8.27

$6.46

$10.54

$14.30
Choose a payer to see a sample of rates for CPT 82810.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Baycare Home Care, Inc.
Baycare Home Care Inc
Christopher Raio
St Francis Hospital
Brittany Ptachick
Hroa 401k Plan
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Rate Benchmarking
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See a sample payer proposalCPT 82810 vs. Other Chemistry Procedures Codes
The CPT 82810 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 82810 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 |
|---|---|---|
| 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). |
| 82805-CPT | Low | Blood Gases W O2 Saturation, Gases Blood Any Combination Of Ph Pco2 Po2 Co2 Hco3 Including Calculated O2 Saturation With O2 Saturation By Direct Measurement Except Pulse Oximetry |
| 82810-CPT | Low | Measure Of Blood Oxygen Level, Measurement Of Oxygen Saturation In The Blood. A Low Result Indicates That Oxygen Is Not Reaching Organs Or That The Blood Is Not Able To Transport Enough Oxygen Around The Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82810. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82810 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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