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See a sample rate comparisonCPT 85390 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.
Dic Screen For Blood Clotting, The Disseminated Intravascular Coagulation (Dic) Screen Consists Of Three Tests: Platelet Count D-Dimer And Fibrinogen Levels And Blood Clotting Time. Dic Occurs In Response To Infection Or Injury Forming Blood Clots Throughout The Body.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 85390 |
| Medicaid Fee Schedule | View Medicaid rates for 85390 |
National average reimbursement for CPT 85390 by major payers:
$22.27
$7.34
$14.72
$36.43
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CPT 85390
5 of 25 sample ratesHigher to lower in this preview
Lasalle Parish Hospital Service Dist No1, Hardtner Medical Center
Hardtner Medical Center
$23.21Published rateColumbia Medical Center Of Denton Subsidiary Lp, Medical City Denton
Columbia Medical Center Of Denton Subsidiary Lp
$15.47Published rateBig Spring Vamc
$7.21Published rateCumberland Surgical Hospital Of San Antonio LLC, Legent Orthopedic & Spine
$5.57Published rateAlexander Tran Md PA
$2.96Published rate
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See a sample payer proposalCPT 85390 vs. Other Hematology and Coagulation Procedures Codes
The CPT 85390 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 85390 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 |
|---|---|---|
| 85384-CPT | Low | Blood Clotting Protein Test, The Factor I Test Measures The Activity Level Of Fibrinogen One Of 20 Proteins Needed For Blood Clotting. It Is Made In The Liver. When An Injury Occurs Fibrinogen Binds To Other Proteins At A Wound Site To Form A Barrier To Prevent Additional Blood Loss. |
| 85385-CPT | Low | Blood Clotting Test, The Fibrinogen Test Is One Of 13 Clotting Factors That Can Be Measured When A Problem Is Suspected. The Test May Follow Up Another Type Of Clotting Test Or It May Be Ordered As Part Of An Evaluation Of The Heart. |
| 85390-CPT | Low | Dic Screen For Blood Clotting, The Disseminated Intravascular Coagulation (Dic) Screen Consists Of Three Tests: Platelet Count D-Dimer And Fibrinogen Levels And Blood Clotting Time. Dic Occurs In Response To Infection Or Injury Forming Blood Clots Throughout The Body. |
| 85396-CPT | Low | Clotting Assay Whole Blood, Coagulation Fibrinolysis Assay Whole Blood Eg Viscoelastic Clot Assessment Including Use Of Any Pharmacologic Additive S As Indicated Including Interpretation And Written Report Per Day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85390 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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