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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 PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.27 national lab fee schedule rate (2026) · View Medicare rates for 83529 |
| Medicaid Fee Schedule | $17.09 median of the 8 states in the free preview · View Medicaid rates for 83529 |
National average reimbursement for CPT 83529 by major payers:

$14.14

$10.42

$17.30

$51.13
Choose a payer to see a sample of rates for CPT 83529.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Christopher Raio
St Francis Hospital
Christopher Raio
St Joseph Hospital
Christopher Raio
St Joseph Hospital
Aaron Askew
The Orthopedic And Neurosurgical Center Of The Cascades
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Rate Benchmarking
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See a sample payer proposalCPT 83529 vs. Other Chemistry Procedures Codes
The CPT 83529 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 83529 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 |
|---|---|---|
| 83006-CPT | Low | Pituitary Gland Tests, Hgh Stimulation Is One Type Of Human Growth Hormone Test. It Helps To Diagnose Low Pituitary Gland Function. |
| 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 |
| 83518-CPT | Low | Immunoassay For Analyte Other, Immunoassay For Analyte Other Than Infectious Agent Antibody Or Infectious Agent Antigen Qualitative Or Semiquantitative Single Step Method (Eg Reagent Strip) |
| 83529-CPT | Low | Interleukin-6 Lab Test, A Lab Test That Helps Monitor The Inflammatory Response Such As Infections Or Other Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83529. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83529 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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