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See a sample rate comparisonCPT 83876 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.
Blood Test For Immune Enzyme, This Test Identifies Deficiency Of Myeloperoxidase (Mpo) Which Is One Of Many Enzymes That Respond To The Presence Of Bacteria And Viruses.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83876 |
| Medicaid Fee Schedule | View Medicaid rates for 83876 |
National average reimbursement for CPT 83876 by major payers:
$38.15
$26.00
$46.44
$95.98
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CPT 83876
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$111.89Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$50.86Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$34.34Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$22.09Published rateAusencio Nunez
Progressive Medical Center, S.C.
$10.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 83876 vs. Other Chemistry Procedures Codes
The CPT 83876 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 83876 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 |
|---|---|---|
| 83775-CPT | Low | Enzyme Test, This Test Measures Malate Dehydrogenase An Enzyme That Influences The Processes That Produce Energy For Cells. |
| 83873-CPT | Low | Myelin Basic Protein Csf |
| 83874-CPT | Low | Muscle Protein Test, The Myoglobin Test Examines A Sample Of Either Blood Or Urine. Myoglobin Is A Key Protein That Helps Muscles Hold Onto Oxygen Needed For Long Periods Of Physical Activity. The Test Helps Diagnose Heart Attack And Assess Injuries To Muscle And Bone. |
| 83876-CPT | Low | Blood Test For Immune Enzyme, This Test Identifies Deficiency Of Myeloperoxidase (Mpo) Which Is One Of Many Enzymes That Respond To The Presence Of Bacteria And Viruses. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83876. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83876 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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