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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 | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.67 national lab fee schedule rate (2026) · View Medicare rates for 83003 |
| Medicaid Fee Schedule | $16.46 median of the 8 states in the free preview · View Medicaid rates for 83003 |
National average reimbursement for CPT 83003 by major payers:

$14.59

$11.78

$18.78

$24.48
Choose a payer to see a sample of rates for CPT 83003.
Harris County Hospital District, Harris Health
Kph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
Vhs Brownsville Hospital Company LLC, Valley Baptist Medical Center - Brownsville
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
Uhs Of Texoma, Inc, Texoma Medical Center
Uhs Of Texoma Inc
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See a sample payer proposalCPT 83003 vs. Other Chemistry Procedures Codes
The CPT 83003 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 83003 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 |
|---|---|---|
| 83001-CPT | Low | Fertility Hormone Test, Fsh (Follicle-Stimulating Hormone) Is A Hormone Made In The Pituitary Gland That Stimulates Ova (Eggs) Or Sperm To Mature. The Test Checks Blood Or A 24-Hour Urine Sample. |
| 83002-CPT | Low | Fertility Hormone (Lh) Testing, Luteinizing Hormone (Lh) Is Made In The Pituitary Gland. It Is Required For Egg Production In Females And Testosterone Release In Males And Is Part Of A Full Fertility Work-Up. The Test Checks Either Blood Or A 24-Hour Urine Sample. |
| 83003-CPT | Low | Human Growth Hormone Test, Human Growth Hormone (Hgh) Affects Numerous Development Functions. Both Blood And Amniotic Fluid May Be Tested. The Results Can Show Problems Either With The Pituitary Gland Or With Adrenal Gland Hormone Regulation. |
| 83528-CPT | Low | Vitamin B12 Usage Test, The Test For Vitamin B12 Absorption Detects A Protein Called Intrinsic Factor That Should Be Present In The Stomach. B12 Is Used By Every Cell In The Body And Is Especially Important For The Brain Nervous System And Blood. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83003. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83003 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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