CPT 83727 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 49 - Independent Clinic 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83727 |
| Medicaid Fee Schedule | View Medicaid rates for 83727 |
National average reimbursement for CPT 83727 by major payers:
$15.28
$12.27
$22.26
$25.20
CPT 83727 vs. Other Chemistry Procedures Codes
The CPT 83727 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 83727 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 |
|---|---|---|
| 83631-CPT | Low | Test Intestinal Inflammation, This Test Measures The Protein Lactoferrin In A Fecal Sample To Either Indicate Or Rule Out Inflammation Of The Intestines. It Is Used To Identify Inflammatory Bowel Disease (Ibd). |
| 83722-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. |
| 83727-CPT | Low | Ovulation Hormone Testing, This Fertility Test Looks For Leuteinizing Hormone Which Is Responsible For Releasing An Ova (Egg) From One Of The Ovaries Each Month. |
| 83873-CPT | Low | Myelin Basic Protein Csf |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83727. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83727 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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