CPT 83735 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 | Chemistry Procedures Pathology and Laboratory Procedures |
| Common Place of Service | 21 - Inpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83735 |
National average reimbursement for CPT 83735 by major payers:
$5.72
$4.85
$8.54
$9.66
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 83735 | $7.50 | 1598840308 - JOSEPH LAUINGER | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Internal Medicine Physician (207R00000X) |
United | 83735 | $19.45 | 1124290101 - PAUL MANDELIN | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Radiation Oncology Physician (2085R0001X) |
United | 83735 | $19.45 | 1952869281 - SHERYL LEAHEY | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Family Nurse Practitioner (363LF0000X) |
United | 83735 | $19.45 | 1699980896 - ELIZABETH BERNARDI | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Physician Assistant (363A00000X) |
United | 83735 | $19.45 | 1235450776 - SUE CHANG | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Cytopathology Physician (207ZC0500X) |
United | 83735 | $22.67 | 1235450776 - SUE CHANG | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Cytopathology Physician (207ZC0500X) |
United | 83735 | $22.67 | 1174134472 - HANNA SONG | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Nurse Practitioner (363L00000X) |
United | 83735 | $7.50 | 1912540873 - DEBORAH BAKENHUS | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Nurse Practitioner (363L00000X) |
United | 83735 | $19.45 | 1316357841 - STEVE TSENG | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | 83735 | $3.42 | 1508136367 - DANIELLE FLANDREAU | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Nurse Practitioner (363L00000X) |
United | 83735 | $7.50 | 1508504952 - MISA PHAN | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Advanced Practice Midwife (367A00000X) |
United | 83735 | $4.01 | 1336700178 - SARAH ALI | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Internal Medicine Physician (207R00000X) |
United | 83735 | $22.67 | 1730275637 - STANLEY HAMILTON | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 83735 | $22.67 | 1629726500 - BRIAN CHEN | 274803222 - CITY OF HOPE MEDICAL FOUNDATION | CA | Adult Health Nurse Practitioner (363LA2200X) |
United | 83735 | $4.01 | 1104106152 - KOSJ YAMOAH | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Radiation Oncology Physician (2085R0001X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 83735 vs. Other Pathology and Laboratory Procedures Codes
The CPT 83735 code is part of the Chemistry Procedures services used for Pathology and Laboratory 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 83735 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 |
|---|---|---|
| 83586-CPT | Low | Adrenal Gland Function Test, Adrenal Function Tests Measure The Amount Of 17-Ketogenic Steroids In A Urine Sample. The Tests Are Used To Diagnose Cushings Syndrome Or To Evaluate Pituitary Function And Male Hormone (Androgen) Secretion By The Adrenal Glands. |
| 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. |
| 83735-CPT | Low | Magnesium Testing, Magnesium Testing Is Done To Assess Kidney Function Diabetes And Calcium Phosphorus Or Potassium Absorption. Magnesium Is A Mineral Needed In Trace Amounts To Help The Body Absorb Calcium. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83735. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83735 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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