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See a sample rate comparisonCPT 85441 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.
Heinz Body Blood Test, Heinz Bodies Are Injured Red Blood Cells That Stick To Cell Walls. The Test Is Done To Identify The Problem Which Can Be Caused By Drugs Enzyme Deficiencies Or Inherited Hemoglobin Disorders.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 85441 |
| Medicaid Fee Schedule | View Medicaid rates for 85441 |
National average reimbursement for CPT 85441 by major payers:
$3.88
$3.09
$4.79
$6.20
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CPT 85441
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$6.30Published rateOur Lady Of The Lake Assumption Community Hospital, Assumption Community Hospital
Our Lady Of The Lake Assumption Community Hospital Inc
$4.19Published rateSt Francis Hospital, Inc., St. Francis Eastside
St Francis Hospital Inc
$3.77Published rateCaldwell Memorial Hospital Inc
Caldwell Memorial Hospital, Inc.
$2.47Published rateVictory Medical Center Landmark, Lp
$1.50Published rate
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See a sample payer proposalCPT 85441 vs. Other Hematology and Coagulation Procedures Codes
The CPT 85441 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 85441 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 |
|---|---|---|
| 85441-CPT | Low | Heinz Body Blood Test, Heinz Bodies Are Injured Red Blood Cells That Stick To Cell Walls. The Test Is Done To Identify The Problem Which Can Be Caused By Drugs Enzyme Deficiencies Or Inherited Hemoglobin Disorders. |
| 85445-CPT | Low | Heinz Body Blood Test, Heinz Bodies Are Injured Red Blood Cells That Stick To Cell Walls. The Test Is Done To Identify The Problem Which Can Be Caused By Drugs Enzyme Deficiencies Or Inherited Hemoglobin Disorders. |
| 85536-CPT | Low | Red Cell Iron Stain, This Test Adds Prussian Blue Dye To A Blood Sample. The Dye Binds To Iron That Is Not Absorbed By Red Blood Cells. This Condition Suggests Bone Marrow Disorders Or Anemias. |
| 85540-CPT | Low | White Blood Cell Enzyme Test, The Leukocyte Alkaline Phosphatase Test (Lap) Measures The Amount Of Alkaline Phosphatase Enzyme Present In White Blood Cells. This Test Is Done To Aid In The Diagnosis Of Certain Blood Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85441 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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