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See a sample rate comparisonCPT 83690 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.
Lipase Enzyme Blood Test, This Test Measures The Amount Of Lipase Present In A Blood Sample. Lipase Is A Digestive Enzyme Made By The Pancreas.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 23 - Emergency Room 81 - Independent Laboratory |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83690 |
| Medicaid Fee Schedule | View Medicaid rates for 83690 |
National average reimbursement for CPT 83690 by major payers:
$5.87
$4.89
$8.75
$10.29
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CPT 83690
5 of 25 sample ratesHigher to lower in this preview
James Wise
$18.11Published rateYouran Gao
Medical Associates Of Englewood PC
$4.13Published rateJeffrey Krieger
So. Ca Medical Gastroenterology Group, Inc.
$4.03Published rateJonelle George
Frederick Health Medical Group LLC
$2.89Published rateSridhar Reddy
Sridhar P. Reddy, M.D., P.A.
$2.89Published rate
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See a sample payer proposalCPT 83690 vs. Other Chemistry Procedures Codes
The CPT 83690 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 83690 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 |
|---|---|---|
| 83605-CPT | Low | Test For Lactic Acid Buildup, This Test Takes A Blood Or Spinal Fluid Sample. Too Much Lactic Acid Can Starve Tissues Of Oxygen. Lactic Acid Can Build Up In Muscles When They Are Exercised. |
| 83615-CPT | Low | Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack. |
| 83690-CPT | Low | Lipase Enzyme Blood Test, This Test Measures The Amount Of Lipase Present In A Blood Sample. Lipase Is A Digestive Enzyme Made By The Pancreas. |
| 83698-CPT | Low | Cholesterol Protein Test, This Test Measures Proteins That Influence Cholesterol Including Apolipoproteins That Help Manage Fats And Proteins And Lipoproteins That Help Build Cell And Tissue Structures. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83690 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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