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See a sample rate comparisonCPT 83719 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.
Vldl Test (Bad Cholesterol), Vldl (Very Low Density Lipoprotein) Testing Measures Lipoproteins That Transport Fatty Acids Around The Body. The Test Result Is Used As A Predictor Of Heart Disease.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83719 |
| Medicaid Fee Schedule | View Medicaid rates for 83719 |
National average reimbursement for CPT 83719 by major payers:
$10.91
$8.47
$13.16
$18.43
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CPT 83719
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateChristopher Raio
Mercy Medical Center
$16.83Published ratePrisma Health-Upstate, Prisma Health Hillcrest Hospital Vascular Lab
Prisma Health - Upstate
$11.47Published ratePrisma Health-Upstate, Prisma Health Ob/Gyn Clinic
Prisma Health - Upstate
$11.47Published rateMark Vital
Hea Clinic, P.A.
$5.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83719 vs. Other Chemistry Procedures Codes
The CPT 83719 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 83719 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 |
|---|---|---|
| 83704-CPT | Low | Lipoprotein 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-CPT | Low | Hdl Test (Good Cholesterol), This Test Measures High-Density Lipoprotein (Hdl) Which Transports Cholesterol. It Is The Good Cholesterol Responsible For Decreasing Plaque Deposits Along The Walls Of Blood Vessels. Low Levels Are Linked To Heart Disease. |
| 83719-CPT | Low | Vldl Test (Bad Cholesterol), Vldl (Very Low Density Lipoprotein) Testing Measures Lipoproteins That Transport Fatty Acids Around The Body. The Test Result Is Used As A Predictor Of Heart Disease. |
| 83721-CPT | Low | Ldl Test (Bad Cholesterol), This Test Measures Low Density Lipoproteins (Ldl) Which Transport Cholesterol To Blood Vessels. If The Amounts Increase Then The Risk Of Heart Disease And Blocked Vessels Also Increase. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83719. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83719 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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