CPT 83655 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None QW - CLIA Waived Tests 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83655 |
| Medicaid Fee Schedule | View Medicaid rates for 83655 |
National average reimbursement for CPT 83655 by major payers:
$10.71
$8.67
$15.10
$17.85
CPT 83655 vs. Other Chemistry Procedures Codes
The CPT 83655 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 83655 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 |
|---|---|---|
| 83655-CPT | Low | Test For Exposure To Lead, Test To Determine Possible Exposure To Lead Either Through Recent Contact Or Long-Term Exposure. |
| 83661-CPT | Low | Fetal Lung Assessment, The Test Analyzes Amniotic Fluid To Predict Fetal Lung Development. This Can Help To Predict The Likelihood Of Breathing Distress In A Newborn During Or Immediately After Birth. |
| 83662-CPT | Low | Fetal Lung Assessment, The Test Analyzes Amniotic Fluid To Predict Fetal Lung Development. This Can Help To Predict The Likelihood Of Breathing Distress In A Newborn During Or Immediately After Birth. |
| 83663-CPT | Low | Fetal Lung Assessment, The Test Analyzes Amniotic Fluid To Predict Fetal Lung Development. This Can Help To Predict The Likelihood Of Breathing Distress In A Newborn During Or Immediately After Birth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83655. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83655 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 83655) and we'll show you how you compare in 15 minutes or less.