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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 | 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 83633 |
| Medicaid Fee Schedule | View Medicaid rates for 83633 |
National average reimbursement for CPT 83633 by major payers:

$8.29

$5.85

$9.89

$15.51
Choose a payer to see a sample of rates for CPT 83633.
Our Lady Of The Lake Assumption Community Hospital Inc
Prisma Health - Upstate
Hea Clinic, P.A.
Sunrise Home Health Care Inc
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Rate Benchmarking
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See a sample payer proposalCPT 83633 vs. Other Chemistry Procedures Codes
The CPT 83633 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 83633 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 83633. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83633 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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