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See a sample rate comparisonCPT 83625 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None 90 - Reference Laboratory PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83625 |
| Medicaid Fee Schedule | View Medicaid rates for 83625 |
National average reimbursement for CPT 83625 by major payers:
$11.02
$8.77
$14.14
$18.64
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CPT 83625
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$55.00Published rateChristopher Raio
Mercy Medical Center
$16.66Published rateEmerus Bhs Sa Thousand Oaks LLC, Baptist Neighborhood Hospital Shavano Park
Emerus Bhs Sa Thousand Oaks LLC
$12.78Published rateNorth Texas, Medical City Alliance
North Texas
$12.78Published rateTitus County Hospital District, Titus Regional Medical Center
$7.32Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83625 vs. Other Chemistry Procedures Codes
The CPT 83625 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 83625 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 |
|---|---|---|
| 83605-CPT | Low | Test For Lactic Acid Buildup, This Test Takes A Blood Or Spinal Fluid Sample. Too Much Lactic Acid Can Starve Tissues Of Oxygen. Lactic Acid Can Build Up In Muscles When They Are Exercised. |
| 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. |
| 83625-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. |
| 83655-CPT | Low | Test For Exposure To Lead, Test To Determine Possible Exposure To Lead Either Through Recent Contact Or Long-Term Exposure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83625 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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