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See a sample rate comparisonCPT 83570 Fee Schedule
Last Verified: September 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.
Metabolism Enzyme Analysis, This Test Analyzes An Enzyme That Helps To Create Nadh One Of The Critical Products For Producing Energy For Cells.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None TC - Technical component 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83570 |
| Medicaid Fee Schedule | View Medicaid rates for 83570 |
National average reimbursement for CPT 83570 by major payers:
$8.03
$6.33
$10.00
$12.90
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CPT 83570
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$60.00Published rateWest Jefferson Holdings, LLC, West Jefferson Medical Center
West Jefferson Holdings, LLC
$10.85Published rateSpecialists Hospital Shreveport, LLC
Specialists Hospital Shreveport, L.L.C.
$7.96Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$5.19Published rateGraham Regional Medical Center, Graham General Hsopital Physicians
$3.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83570 vs. Other Chemistry Procedures Codes
The CPT 83570 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 83570 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 |
|---|---|---|
| 83570-CPT | Low | Metabolism Enzyme Analysis, This Test Analyzes An Enzyme That Helps To Create Nadh One Of The Critical Products For Producing Energy For Cells. |
| 83582-CPT | Low | Adrenal Gland Function Test, Adrenal Function Tests Measure The Amount Of 17-Ketogenic Steroids In A Urine Sample. The Tests Are Used To Diagnose Cushings Syndrome Or To Evaluate Pituitary Function And Male Hormone (Androgen) Secretion By The Adrenal Glands. |
| 83586-CPT | Low | Adrenal Gland Function Test, Adrenal Function Tests Measure The Amount Of 17-Ketogenic Steroids In A Urine Sample. The Tests Are Used To Diagnose Cushings Syndrome Or To Evaluate Pituitary Function And Male Hormone (Androgen) Secretion By The Adrenal Glands. |
| 83615-CPT | Low | Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83570. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83570 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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