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See a sample rate comparisonCPT 83631 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 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83631 |
| Medicaid Fee Schedule | View Medicaid rates for 83631 |
National average reimbursement for CPT 83631 by major payers:
$17.08
$13.95
$21.92
$53.05
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CPT 83631
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$43.19Published rateChristopher Raio
Mercy Medical Center
$26.90Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$19.86Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$11.52Published rateWilliam Yang
Renal Consultants Medical Group
$8.23Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83631 vs. Other Chemistry Procedures Codes
The CPT 83631 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 83631 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 83631. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83631 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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