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CPT 83655 Fee Schedule

Last Verified: December 2025

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

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$12.101902857766 - COLUMBIA MEDICAL CENTER OF LAS COLINAS INC, MEDICAL CITY LAS COLINAS621650582 - (TX) COLUMBIA MEDICAL CENTER OF LAS COLINAS INCTXGeneral Acute Care Hospital (282N00000X)
United
83655$10.391013068808 - ST HELENA PARISH HOSPITAL, ST HELENA PARISH HOSPITAL720627145 - (LA) ST HELENA PARISH HOSPITALLACritical Access Hospital (282NC0060X)
United
83655$12.101093793408 - JACKSON PARISH HOSPITAL, JACKSON PARISH HOSPITAL720549907LACritical Access Hospital (282NC0060X)
United
83655$12.101467129700 - VHS SAN ANTONIO PARTNERS, LLC, NORTHEAST BAPTIST HOSPITAL760714523TXGeneral Acute Care Hospital (282N00000X)
United
83655$7.191013212448 - GUSTAVO DELGADO746000756 - (TX) EL PASO COUNTY HOSPITAL DISTRICTTXGeneral Acute Care Hospital (282N00000X)
United
83655$12.101184911877 - VHS BROWNSVILLE HOSPITAL COMPANY LLC, VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE452663071TXGeneral Acute Care Hospital (282N00000X)
United
83655$12.101134172406 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LP, MEDICAL CITY ARLINGTON621682201 - COLUMBIA MEDICAL CENTER OF ARLINGTON SUBSIDIARY LPTXGeneral 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$12.101114976263 - SLIDELL MEMORIAL HOSPITAL, MD IMAGING SLIDELL726014895 - (LA) SLIDELL MEMORIAL HOSPITALLAGeneral Acute Care Hospital (282N00000X)
United
83655$10.891104873710 - CLHG-OAKDALE, LLC, OAKDALE COMMUNITY HOSPITAL813465783 - (LA) CLHGOAKDALE LLCLAGeneral Acute Care Hospital (282N00000X)
United
83655$14.521275581852 - ROLLING PLAINS MEMORIAL HOSPITAL756003896 - (TX) THE NOLAN COUNTY HOSPITAL DISTRICTTXGeneral Acute Care Hospital (282N00000X)
United
83655$10.141962024026 - CLHG-RUSTON LLC844422249LAGeneral Acute Care Hospital (282N00000X)
United
83655$7.421689655912 - NOCONA HOSPITAL DISTRICT, NOCONA GENERAL HOSPITAL751368648TXGeneral Acute Care Hospital (282N00000X)
United
83655$17.671801825005 - HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH, LASALLE GENERAL HOSPITAL720690217 - (LA) HOSPITAL SERVICE DISTRICT 2 OF LASALLE PARISHLAGeneral Acute Care Hospital (282N00000X)
United
83655$15.221245878990 - HUNTSVILLE COMMUNITY HOSPITAL, INC.843654542 - (TX) HUNTSVILLE COMMUNITY HOSPITAL INCTXGeneral Acute Care Hospital (282N00000X)
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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