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See a sample rate comparisonCPT 85002 Fee Schedule
Last Verified: October 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 Clotting Test, Bleeding Time (Blood Clotting Test) Checks How Quickly The Blood Clots When A Small Skin Cut Is Made. The Test Is An Indicator Of Platelet Function (Platelets Are Blood Cells Required For Blood Clotting).
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.82 national lab fee schedule rate (2026) · View Medicare rates for 85002 |
| Medicaid Fee Schedule | $4.435 median of the 8 states in the free preview · View Medicaid rates for 85002 |
National average reimbursement for CPT 85002 by major payers:
$4.31
$3.37
$5.43
$7.20
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CPT 85002
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$24.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$6.18Published rateMethodist Hospitals Of Dallas, Methodist Dallas Medical Center
Methodist Hospitals Of Dallas
$4.82Published rateSt Francis Hospital, Inc., St. Francis Eastside
St Francis Hospital Inc
$4.34Published rateHospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
$2.01Published rate
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See a sample payer proposalCPT 85002 vs. Other Hematology and Coagulation Procedures Codes
The CPT 85002 code is part of the Pathology and Laboratory Procedures services used for Hematology and Coagulation 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 85002 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 |
|---|---|---|
| 84577-CPT | Low | Urobilinogen, Feces, Quantitative |
| 85002-CPT | Low | Blood Clotting Test, Bleeding Time (Blood Clotting Test) Checks How Quickly The Blood Clots When A Small Skin Cut Is Made. The Test Is An Indicator Of Platelet Function (Platelets Are Blood Cells Required For Blood Clotting). |
| 85004-CPT | Low | Automated Count Of Blood Cells, Machine Blood Count Measuring The Number Of White Cells (Wbcs) Red Cells (Rbcs) And Platelets. |
| 85007-CPT | Low | Manual Blood Count, Routine Blood Test Where A Sample Is Examined Under A Microscope. The Basic Components Are Counted: White Blood Cells (Wbcs) Red Blood Cells And Platelets. The Five Wbc Types Also May Be Counted: Neutrophils Lymphocytes Monocytes Eosinophils Basophils. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85002 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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