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See a sample rate comparisonCPT 86382 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.
Test For Virus Source, The Virus Neutralization Test Method Identifies The Source Of An Infection By Matching Antibodies And Antigens.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $16.91 national lab fee schedule rate (2026) · View Medicare rates for 86382 |
| Medicaid Fee Schedule | $16.70 median of the 8 states in the free preview · View Medicaid rates for 86382 |
National average reimbursement for CPT 86382 by major payers:
$15.09
$11.93
$19.50
$24.81
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CPT 86382
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$60.00Published rateChristopher Raio
St Joseph Hospital
$20.09Published ratePrisma Health-Upstate, Prisma Health Op Surgery Patewood
Prisma Health - Upstate
$15.22Published rateAaron Askew
Desert Bone & Joint Specialists, LLP
$9.68Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$5.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86382 vs. Other Immunology Procedures Codes
The CPT 86382 code is part of the Pathology and Laboratory Procedures services used for Immunology 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 86382 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 |
|---|---|---|
| 86376-CPT | Low | Thyroid Autoimmune Test, This Test Detects Antibodies To A Protein In The Thyroid Gland. It Helps To Diagnose Autoimmune Conditions. |
| 86381-CPT | Low | Lab Test For Liver Disorder, This Lab Test Is Used To Determine The Presence Of Mitochondrial Antibodies Which Can Help To Diagnose Primary Biliary Cirrhosis. |
| 86382-CPT | Low | Test For Virus Source, The Virus Neutralization Test Method Identifies The Source Of An Infection By Matching Antibodies And Antigens. |
| 86384-CPT | Low | Nitroblue Dye Test, The Nitroblue Dye Test Is Used To Screen For Several Inherited Disorders And Conditions Caused By Immune Deficiencies. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86382. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86382 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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