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 | Pathology and Laboratory Procedures Chemistry 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 |
| Medicaid Fee Schedule | View Medicaid rates for 83735 |
National average reimbursement for CPT 83735 by major payers:
$5.72
$4.85
$8.54
$9.66
CPT 83735 vs. Other Chemistry Procedures Codes
The CPT 83735 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 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. |
| 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. |
| 83930-CPT | Low | Test Of Blood Density, Test To Measure The Density Of Particles In The Blood Which Are Responsible For Retaining Or Secreting Water From The Body. |
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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