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See a sample rate comparisonCPT 82955 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.
Enzyme (G6pd) Blood Test, G6pd Is An Enzyme Found In Red Blood Cells (Rbcs). A Deficiency Can Cause The Rbcs To Be Destroyed From A Drug Or Infection. This Deficiency Can Be Linked To Certain Types Of Anemia.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $9.70 national lab fee schedule rate (2026) · View Medicare rates for 82955 |
| Medicaid Fee Schedule | $9.58 median of the 8 states in the free preview · View Medicaid rates for 82955 |
National average reimbursement for CPT 82955 by major payers:
$8.15
$6.76
$11.29
$14.28
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CPT 82955
5 of 25 sample ratesHigher to lower in this preview
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Horizon City Campus
Hcn Ep Horizon City LLC
$24.00Published rateChristopher Raio
Mercy Medical Center
$12.80Published rateColumbia Medical Center Of Arlington Subsidiary Lp, Medical City Arlington
Columbia Medical Center Of Arlington Subsidiary Lp
$9.69Published rateOur Lady Of Lourdes Regional Medical Center,Inc
Our Lady Of Lourdes Regional Medical Center Inc
$9.69Published rateTitus County Hospital District, Titus Regional Medical Center
$4.07Published rate
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See a sample payer proposalCPT 82955 vs. Other Chemistry Procedures Codes
The CPT 82955 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 82955 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 |
|---|---|---|
| 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. |
| 82952-CPT | Low | Glucose Tolerance Test, Glucose Tolerance Testing (Gtt) Evaluates Carbohydrate Metabolism. A Glucose Solution Can Be Drunk Or Delivered Directly Into The Bloodstream By Iv. After This Anywhere From One To Four Or More Samples Are Measured To Assess How The Body Handles Blood Sugar. |
| 82955-CPT | Low | Enzyme (G6pd) Blood Test, G6pd Is An Enzyme Found In Red Blood Cells (Rbcs). A Deficiency Can Cause The Rbcs To Be Destroyed From A Drug Or Infection. This Deficiency Can Be Linked To Certain Types Of Anemia. |
| 82960-CPT | Low | Enzyme (G6pd) Blood Test, G6pd Is An Enzyme Found In Red Blood Cells (Rbcs). A Deficiency Can Cause The Rbcs To Be Destroyed From A Drug Or Infection. This Deficiency Can Be Linked To Certain Types Of Anemia. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82955. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82955 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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