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See a sample rate comparisonCPT 85670 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.
Thrombin Time Clot Test, This Test Measures Thrombin Time (The Time It Takes For A Blood Clot To Form). It Also Verifies Correct Dosage Of Heparin And Detects Fibrinogen Conditions.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Hematology and Coagulation Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 85670 |
| Medicaid Fee Schedule | View Medicaid rates for 85670 |
National average reimbursement for CPT 85670 by major payers:
$5.04
$4.12
$6.93
$8.95
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CPT 85670
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$18.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$6.85Published rateJacksonville Hospital LLC, Uthealth East Texas Jacksonville Hospital
$5.76Published rateChristus Health Ark-La-Tex, Christus St. Michael Health System
Christus Trinity Clinic
$3.46Published rateCumberland Surgical Hospital Of San Antonio LLC, Legent Orthopedic & Spine
$2.07Published rate
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See a sample payer proposalCPT 85670 vs. Other Hematology and Coagulation Procedures Codes
The CPT 85670 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 85670 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 |
|---|---|---|
| 85547-CPT | Low | Test Red Blood Cell Strength, The Test Stresses Red Blood Cells To See Whether They Can Be Deformed Or Punctured. The Test Helps To Determine If There Is Weakness Caused By An External Factor Or If The Cells Are Missing An Element They Need. |
| 85549-CPT | Low | Enzyme Test For Leukemia, The Test Sample Is Either Urine Or Blood And The Enzyme Measured Is Muramidase. Amounts Often Are Elevated In Acute Leukemia. The Enzyme May Also Be Out Of Balance With Other Types Of Leukemia. |
| 85670-CPT | Low | Thrombin Time Clot Test, This Test Measures Thrombin Time (The Time It Takes For A Blood Clot To Form). It Also Verifies Correct Dosage Of Heparin And Detects Fibrinogen Conditions. |
| 85675-CPT | Low | Thrombin Time Clot Test, This Test Measures Thrombin Time (The Time It Takes For A Blood Clot To Form). It Also Verifies Correct Dosage Of Heparin And Detects Fibrinogen Conditions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 85670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 85670 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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