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See a sample rate comparisonCPT 83630 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 Intestinal Inflammation, This Test Measures The Protein Lactoferrin In A Fecal Sample To Either Indicate Or Rule Out Inflammation Of The Intestines. It Is Used To Identify Inflammatory Bowel Disease (Ibd).
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83630 |
| Medicaid Fee Schedule | View Medicaid rates for 83630 |
National average reimbursement for CPT 83630 by major payers:
$17.16
$13.76
$21.98
$52.85
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CPT 83630
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Mercy Medical Center
$37.39Published rateAhs Hospital Corp., Morristown Medical Center
Atlantic Health System Inc
$22.25Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$14.33Published rateLeon Home Health, LLC, Leon At Home
$11.22Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$6.90Published rate
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See a sample payer proposalCPT 83630 vs. Other Chemistry Procedures Codes
The CPT 83630 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 83630 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 |
|---|---|---|
| 83630-CPT | Low | Test Intestinal Inflammation, This Test Measures The Protein Lactoferrin In A Fecal Sample To Either Indicate Or Rule Out Inflammation Of The Intestines. It Is Used To Identify Inflammatory Bowel Disease (Ibd). |
| 83631-CPT | Low | Test Intestinal Inflammation, This Test Measures The Protein Lactoferrin In A Fecal Sample To Either Indicate Or Rule Out Inflammation Of The Intestines. It Is Used To Identify Inflammatory Bowel Disease (Ibd). |
| 83632-CPT | Low | Hpl Hormone Blood Test, This Blood Test Measures Human Placental Lactogen (Hpl) A Hormone That Provides Nutrition For The Fetus. It Is A Measure Of Fetal Health And Age And Can Also Give An Indication Of General Placenta Function. |
| 83633-CPT | Low | Urine Test For Sugar (Lactose), The Test Identifies Imbalances In Lactose Excretion. A Large Amount Indicates A Lactose Intolerance Whereas None Or A Very Small Amount Suggests That Calcium Is Not Being Absorbed Properly. The Result May Be Reported Simply As Positive Or Negative. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83630 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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