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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 | $29.53 national lab fee schedule rate (2026) · View Medicare rates for 83088 |
| Medicaid Fee Schedule | $27.165 median of the 8 states in the free preview · View Medicaid rates for 83088 |
National average reimbursement for CPT 83088 by major payers:

$25.32

$21.49

$32.70

$43.06
Choose a payer to see a sample of rates for CPT 83088.
Harris County Hospital District, Harris Health
Christopher Raio
Good Samaritan Hosptial Medical Center
Coastal Carolina Medical Center, Inc., Coastal Carolina Hospital
George Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
Hospital 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
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Rate Benchmarking
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See a sample payer proposalCPT 83088 vs. Other Chemistry Procedures Codes
The CPT 83088 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 83088 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 |
|---|---|---|
| 83051-CPT | Low | Plasma Test For Hemoglobin, This Test Helps To Diagnose Conditions That Affect The Health Of Hemoglobin. Hemoglobin Enables Blood To Transport Oxygen. |
| 83065-CPT | Low | Test For Unstable Hemoglobin, This Blood Test Evaluates The Sample For Hemoglobin That Breaks Down Too Quickly. The Condition Can Produce Symptoms Similar To Anemia. Unstable Hemoglobin May Also Be Produced During An Infection. |
| 83069-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. |
| 83088-CPT | Low | Allergy Blood Test, The Allergy Blood Test Measures Levels Of Histamine Which Is Released When The Body Is Reacting To An Irritant. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83088. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83088 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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