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CPT 83655 Fee Schedule

Last Verified: January 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.

Lead, Quantitative; Blood
Key FactDetail
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 LevelLow
Medicare Fee ScheduleView Medicare rates for 83655

National average reimbursement for CPT 83655 by major payers:

bcbs

$10.71

uhc

$8.67

aetna

$15.10

cigna

$18.15

Preview provider-level rates for...
For billing codeCPT 83655
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 83655

United
83655$12.101184911877 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE452663071TXGeneral Acute Care Hospital (282N00000X)
United
83655$10.061386770527 - BRIAN BURKE200362623 - SLOCUM DICKSON MEDICAL GROUP PLLCNYDiagnostic Radiology Physician (2085R0202X)
United
83655$14.521316931835 - WILBARGER COUNTY HOSPITAL DISTRICT, WILBARGER GENERAL HOSPITAL756047638 - (TX) WILBARGER GENERAL HOSPITAL EMPLOYEE BENEFIT PLANTXGeneral Acute Care Hospital (282N00000X)
United
83655$10.891568663920 - PROGRESSIVE ACUTE CARE AVOYELLES, LLC, AVOYELLES HOSPITAL813465468LAGeneral Acute Care Hospital (282N00000X)
United
83655$7.191013212448 - GUSTAVO DELGADO746000756 - (TX) EL PASO COUNTY HOSPITAL DISTRICTTXGeneral Acute Care Hospital (282N00000X)
United
83655$37.501669752234 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLCTXGeneral Acute Care Hospital (282N00000X)
United
83655$37.501114473329 - EMERUS BHS SA THOUSAND OAKS LLC, BAPTIST NEIGHBORHOOD HOSPITAL SHAVANO PARK452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLCTXGeneral Acute Care Hospital (282N00000X)
United
83655$7.091134126659 - CALDWELL MEMORIAL HOSPITAL INC720878037 - (LA) CALDWELL MEMORIAL HOSPITAL, INC.LAGeneral Acute Care Hospital (282N00000X)
United
83655$7.091235177320 - BIENVILLE MEDICAL CENTER, INC.743227578LACritical Access Hospital (282NC0060X)
United
83655$12.101215969787 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE SIERRA CAMPUS954537720TXGeneral Acute Care Hospital (282N00000X)
United
83655$12.101114998911 - GRANBURY HOSPITAL CORPORATION, LAKE GRANBURY MEDICAL CENTER752682017 - (TX) GRANBURY HOSPITAL CORPORATIONTXGeneral Acute Care Hospital (282N00000X)
United
83655$12.101023065794 - CHCA WOMANS HOSPITAL LP, WOMAN'S HOSPITAL OF TEXAS621810381 - (TX) CHCA WOMANS HOSPITAL LPTXGeneral Acute Care Hospital (282N00000X)
United
83655$12.101417465824 - ATHENS HOSPITAL, LLC823934511TXGeneral Acute Care Hospital (282N00000X)
United
83655$7.091134126659 - CALDWELL MEMORIAL HOSPITAL INC720878037 - (LA) CALDWELL MEMORIAL HOSPITAL, INC.LAGeneral Acute Care Hospital (282N00000X)
United
83655$5.091093976847 - CATHERINE DOCOUS200362623 - SLOCUM DICKSON MEDICAL GROUP PLLCNYPhysician Assistant (363A00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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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.

CodeComplexityDescription
83655-CPTLowLead, Quantitative; Blood
83661-CPTLowLecithin-Sphingomyelin Ratio, Amniotic F
83662-CPTLowLecithin-Sphingomye Ratio Foam Test
83663-CPTLowFetal Lung Maturity Assessment; Fluorescence Polarization

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.

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