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See a sample rate comparisonCPT 83505 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $24.30 national lab fee schedule rate (2026) · View Medicare rates for 83505 |
| Medicaid Fee Schedule | $23.995 median of the 8 states in the free preview · View Medicaid rates for 83505 |
National average reimbursement for CPT 83505 by major payers:
$21.93
$17.44
$26.85
$35.33
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CPT 83505
5 of 25 sample ratesHigher to lower in this preview
Tops Specialty Hospital, Ltd., Tops Surgical Specialty Hospital
Tops Specialty Hospital Ltd
$75.00Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$32.08Published rateCrescent City Surgical Centre Operating Company, L.L.C.
Crescent City Surgical Centre
$24.29Published rateCarthage Hospital, LLC
$24.29Published rateOmega Hospital LLC
Omega Hospital, LLC
$10.21Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83505 vs. Other Chemistry Procedures Codes
The CPT 83505 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 83505 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 83505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83505 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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