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CPT 83718 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.

Lipoprotein Direct Meas Hdl Cholest
Key FactDetail
Service Type

Pathology and Laboratory Procedures

Chemistry Procedures

Common Place of Service

81 - Independent Laboratory

11 - Office

Common Modifiers

None

QW - CLIA Waived Tests

26 - Professional component

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 83718

National average reimbursement for CPT 83718 by major payers:

bcbs

$7.35

uhc

$5.85

aetna

$9.86

cigna

$12.18

Preview provider-level rates for...
For billing codeCPT 83718
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 83718

United
83718$4.901881675098 - LAWRENCE DAVIS452548322 - MEDICAL ASSOCIATES OF ENGLEWOOD PCNJInternal Medicine Physician (207R00000X)
United
83718$5.501366049330 - SHAFAQ TARAR205866087 - (NY) MEDICAL OFFICES OF MANHATTANNJInternal Medicine Physician (207R00000X)
United
83718$5.011912987587 - PRAMEELA PALLI232359401 - MAIN LINE HEALTHCARENJInternal Medicine Physician (207R00000X)
United
83718$2.751568982189 - MOUTAZ GHREWATI813879476 - (NJ) CCMMA NJ LLCNJInternal Medicine Physician (207R00000X)
United
83718$3.461770014045 - NATASHA CAMPBELL61755230 - (NJ) HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-COMPLEX CARE PCNJInternal Medicine Physician (207R00000X)
United
83718$3.731528697315 - BASIL ELAMIR134150893 - (NJ) MM JC BREATHING CENTER FAMILY LTD PARTNERSHIPNJInternal Medicine Physician (207R00000X)
United
83718$5.381225065634 - SADHANA KUMAR320135084 - (NJ) SADHANA KUMAR MD LLCNJInternal Medicine Physician (207R00000X)
United
83718$4.591225181944 - VAILSBURG MEDICAL ASSOCIATES222183298 - (NJ) VAILSBURG MEDICAL ASSOCIATESNJInternal Medicine Physician (207R00000X)
United
83718$3.731518151463 - REKHA MANDEL364920478 - (NJ) PALM INTEGRATIVE MEDICINE NJ LLCNJInternal Medicine Physician (207R00000X)
United
83718$21.511437462926 - ANUJ MALHOTRA222306123 - (NJ) PRINCETON MEDICAL GROUP, P.A.NJInternal Medicine Physician (207R00000X)
United
83718$3.731013939917 - NEREIDA DIAZ-JOHNSON571147408 - (NJ) UNION MEDICAL GROUP LLCNJInternal Medicine Physician (207R00000X)
United
83718$25.721730612672 - NISHA RAO133278578 - (NY) WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PCNJInternal Medicine Physician (207R00000X)
United
83718$11.961215963673 - DEVI SURAPANANI221537688 - HUNTERDON MEDICAL CENTERNJInternal Medicine Physician (207R00000X)
United
83718$4.901134673866 - SHIKHA BROKER933857635 - (CA) MOCHI MEDICAL NJ PCNJInternal Medicine Physician (207R00000X)
United
83718$6.261629573845 - JONATHAN GOLANI462906928NJInternal Medicine Physician (207R00000X)
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 83718 vs. Other Chemistry Procedures Codes

The CPT 83718 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 83718 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
83698-CPTLowLipoprotein Associated Phospolipase A2 Lp Pla2
83704-CPTLowLipoprotein Blood; Quantitation Of Lipoprotein Particle Number(S) (Eg By Nuclear Magnetic Resonance Spectroscopy) Includes Lipoprotein Particle Subclass(Es) When Performed. (Desc Revised 1/1/2017)
83718-CPTLowLipoprotein Direct Meas Hdl Cholest
83719-CPTLowLipoprotein Very Low Dens.Cholesterol-Ul

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83718. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 83718 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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