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See a sample rate comparisonCPT 82985 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.
Blood Sugar Monitoring, Monitoring Of Fructosamine A Protein That Shows How Well Glucose Levels Are Managed Over A Period Of Time.
| 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 QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.76 national lab fee schedule rate (2026) · View Medicare rates for 82985 |
| Medicaid Fee Schedule | $15.42 median of the 8 states in the free preview · View Medicaid rates for 82985 |
National average reimbursement for CPT 82985 by major payers:
$14.67
$14.77
$17.94
$24.04
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CPT 82985
5 of 25 sample ratesHigher to lower in this preview
Dallas Vamc
$21.05Published rateColumbia Hospital At Medical City Dallas Subsidiary Lp, Medical City Dallas
$16.76Published rateMethodist Mckinney Hospital LLC
$16.76Published rateSt. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$15.07Published rateHospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
$7.03Published rate
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See a sample payer proposalCPT 82985 vs. Other Chemistry Procedures Codes
The CPT 82985 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 82985 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 |
|---|---|---|
| 82985-CPT | Low | Blood Sugar Monitoring, Monitoring Of Fructosamine A Protein That Shows How Well Glucose Levels Are Managed Over A Period Of Time. |
| 83006-CPT | Low | Pituitary Gland Tests, Hgh Stimulation Is One Type Of Human Growth Hormone Test. It Helps To Diagnose Low Pituitary Gland Function. |
| 83010-CPT | Low | Blood Protein Binding Test, This Test Measures The Binding Of The Protein Haptoglobin To Hemoglobin And Reveals Whether Or Not The Body Is Maintaining A Balance Between Red Blood Cell Destruction And Production. |
| 83020-CPT | Low | Blood Oxygen Capacity Test, Blood Or Urine Is Tested For Hemoglobin (Hb) A Protein That Carries Oxygen In Red Blood Cells. Excessive Amounts Of The Various Types Of Hb Are Linked To Anemia And Premature Cell Death. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82985. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82985 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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