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See a sample rate comparisonCPT 83500 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.
Urine Hydroxyproline Test, The Test Measures Hydroxyproline Which Is One Of The Elements That Helps To Stabilize Collagen.
| 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 | $22.65 national lab fee schedule rate (2026) · View Medicare rates for 83500 |
| Medicaid Fee Schedule | $22.365 median of the 8 states in the free preview · View Medicaid rates for 83500 |
National average reimbursement for CPT 83500 by major payers:
$20.33
$16.35
$23.79
$32.73
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CPT 83500
5 of 25 sample ratesHigher to lower in this preview
Citizens Medical Center County Of Victoria, County Of Victoria Citizens Medical Center
$45.29Published rateChca Mainland, L.P., Mainland Medical Center
$22.64Published rateKph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
$22.64Published rateLamb Healthcare Center
$13.28Published rateNorthwest Texas Surgical Hospital, LLC, Northwest Texas Surgery Center
Northwest Texas Surgical Hospital LLC
$9.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83500 vs. Other Chemistry Procedures Codes
The CPT 83500 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 83500 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 |
|---|---|---|
| 83500-CPT | Low | Urine Hydroxyproline Test, The Test Measures Hydroxyproline Which Is One Of The Elements That Helps To Stabilize Collagen. |
| 83505-CPT | Low | Bone Disease Test, This Test Looks For Hydroxyproline An Amino Acid Made In The Liver. Hydroxyproline Helps Broken Bones To Heal But It Also Is Present In Conditions Like Osteomalacia In Which The Bones Become Softened. |
| 83516-CPT | Low | Immunoassay For Analyte Other, Immunoassay For Analyte Other Than Infectious Agent Antibody Or Infectious Agent Antigen Qualitative Or Semiquantitative Multiple Step Method |
| 83540-CPT | Low | Blood Test For Iron, This Test Measures The Amount Of Iron In A Blood Sample. It Is Used To Identify Iron Deficiency Or Iron Poisoning. The Test Often Is Conducted Along With Others To Evaluate Illness Or Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83500 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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