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See a sample rate comparisonCPT 83020 Fee Schedule
Last Verified: September 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 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83020 |
| Medicaid Fee Schedule | View Medicaid rates for 83020 |
National average reimbursement for CPT 83020 by major payers:
$15.54
$8.98
$15.74
$25.66
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CPT 83020
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Kelly
Emerus Bhs Sa Thousand Oaks LLC
$52.50Published rateResolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
$12.86Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
$12.86Published rateWilbarger County Hospital District, Wilbarger General Hospital
Wilbarger General Hospital Employee Benefit Plan
$7.65Published rateAscension Seton, Ascension Seton Medical Center Austin
Ascension Seton
$4.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83020 vs. Other Chemistry Procedures Codes
The CPT 83020 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 83020 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 |
|---|---|---|
| 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. |
| 83012-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. |
| 83021-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 83020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83020 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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