CPT 83993 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 | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 83993 |
| Medicaid Fee Schedule | View Medicaid rates for 83993 |
National average reimbursement for CPT 83993 by major payers:
$16.58
$13.93
$23.66
$53.28
CPT 83993 vs. Other Chemistry Procedures Codes
The CPT 83993 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 83993 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 |
|---|---|---|
| 83935-CPT | Low | Test Of Urine Density, Test To Measure The Density Of Particles In The Urine Which Are Responsible For Retaining Or Secreting Water From The Body. |
| 83945-CPT | Low | Confirm Kidney Stone Material, A 24-Hour Urine Collection Is Measured For The Amount Of Oxalate. This Helps To Indicate The Correct Preventive Treatment For Kidney Stones Such As Dietary Restrictions. |
| 83993-CPT | Low | Test Intestinal Inflammation, The Test Checks Fecal Material For Calprotectin A Protein That Binds To Calcium. It Is Found In Neutrophils--A Type Of White Blood Cell--And Indicates Inflammation Within The Intestines. |
| 84156-CPT | Low | Total Urine Protein Test, The Total Urine Protein Test Helps To Assess Kidney Health By Measuring The Level Of Protein Present In The Kidneys. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83993. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83993 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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