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See a sample rate comparisonCPT 86625 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.
Campylobacter Lab Test, The Test Checks For Antibodies To Campylobacter A Bacteria Responsible For Intestinal Infections. A Positive Result Indicates Current Or Past Infection.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Immunology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $13.12 national lab fee schedule rate (2026) · View Medicare rates for 86625 |
| Medicaid Fee Schedule | $12.07 median of the 8 states in the free preview · View Medicaid rates for 86625 |
National average reimbursement for CPT 86625 by major payers:
$11.58
$13.30
$14.89
$19.28
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CPT 86625
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$35.00Published rateAaron Askew
Praxis Health, P.C.
$14.43Published rateScott & White Memorial Hospital, Baylor Scott & White Medical Center - Temple
Scott & White Memorial Hospital
$13.11Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Faris
Prisma Health - Upstate
$11.81Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$5.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 86625 vs. Other Immunology Procedures Codes
The CPT 86625 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 86625 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 |
|---|---|---|
| 86622-CPT | Low | Malta Fever Antibody Test, This Test Detects Antibodies To Brucella The Bacteria That Causes Malta Fever. The Presence Of Antibodies Indicates Immunity Or Prior Infection. |
| 86625-CPT | Low | Campylobacter Lab Test, The Test Checks For Antibodies To Campylobacter A Bacteria Responsible For Intestinal Infections. A Positive Result Indicates Current Or Past Infection. |
| 86628-CPT | Low | Yeast Infection Test, Candida Is A Yeast (Fungus) That Can Cause Infection. This Test Detects Antibodies Made In Response To A Widespread Infection. Results Assess The Severity Of The Infection And Response To Therapy. |
| 86635-CPT | Low | Valley Fever Antibody Test, Valley Fever Is Caused By The Fungus Coccidioides Immitis Which Is Common In Desert Areas. This Blood Test Detects Antibodies That Indicate A Current Or Past Infection. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 86625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 86625 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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