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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 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.92 national lab fee schedule rate (2026) · View Medicare rates for 83090 |
| Medicaid Fee Schedule | $17.695 median of the 8 states in the free preview · View Medicaid rates for 83090 |
National average reimbursement for CPT 83090 by major payers:

$15.13

$13.43

$20.87

$25.63
Choose a payer to see a sample of rates for CPT 83090.
Citizens Medical Center County Of Victoria, County Of Victoria Citizens Medical Center
Coastal Carolina Medical Center, Inc., Coastal Carolina Hospital
Chca Pearland, L.P., Hca Houston Healthcare Pearland
Clhg-Ruston LLC
Ascension Seton, Ascension Seton Medical Center Austin
Ascension Seton
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Rate Benchmarking
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See a sample payer proposalCPT 83090 vs. Other Chemistry Procedures Codes
The CPT 83090 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 83090 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 |
|---|---|---|
| 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. |
| 83090-CPT | Low | Homocysteine Amino Acid Test, This Test Measures Levels Of Homocysteine An Amino Acid In A Blood Or Urine Sample. Homocysteine Levels Are Related To Metabolism And Stress. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83090. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83090 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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