CPT 82930 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 82930 |
| Medicaid Fee Schedule | View Medicaid rates for 82930 |
National average reimbursement for CPT 82930 by major payers:
$5.56
$4.34
$6.62
$31.74
CPT 82930 vs. Other Chemistry Procedures Codes
The CPT 82930 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 82930 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 |
|---|---|---|
| 82820-CPT | Low | Hemoglobin-Oxygen Binding Test, The Hemoglobin-Oxygen Binding Test Measures How Well Hemoglobin Can Bind With Oxygen. If The Two Substances Do Not Combine Well Organs And Other Tissues May Be Starved Of The Oxygen They Need. |
| 82930-CPT | Low | Stomach Acid Test, The Stomach (Gastric) Acid Test Evaluates Secretion Of Hydrochloric Acid Which Is Essential For This Stage Of Digestion. Conditions Such As Pernicious Anemia And Peptic Ulcers Can Greatly Affect Stomach Acid Secretion. |
| 82938-CPT | Low | Stomach Acid Test, Gastrin Is A Hormone That Regulates Stomach Acid Secretion. This Test Measures The Amount Of Gastrin In A Blood Sample. |
| 82941-CPT | Low | Stomach Acid Test, Gastrin Is A Hormone That Regulates Stomach Acid Secretion. This Test Measures The Amount Of Gastrin In A Blood Sample. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82930 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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