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See a sample rate comparisonCPT 87076 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.
Test For Bacteria Infection, A Sample Of Body Fluid Or Tissue Is Tested For Infectious Bacteria. One Or More Additional Tests Confirm The Result Identify The Bacteria And Estimate How Many Are Present.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology 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 87076 |
| Medicaid Fee Schedule | View Medicaid rates for 87076 |
National average reimbursement for CPT 87076 by major payers:
$7.99
$5.77
$9.32
$12.57
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CPT 87076
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital
Emerus Bhs Sa Thousand Oaks LLC
$60.00Published rateColumbia Medical Center Of Denton Subsidiary Lp, Medical City Denton
Columbia Medical Center Of Denton Subsidiary Lp
$8.07Published rateTenet Hospitals Limited, The Hospitals Of Providence Memorial Campus
$8.07Published rateClhg-Leesville, Byrd Regional Hospital
$6.76Published rateEl Campo Memorial Hospital
$3.39Published rate
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See a sample payer proposalCPT 87076 vs. Other Microbiology Procedures Codes
The CPT 87076 code is part of the Pathology and Laboratory Procedures services used for Microbiology 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 87076 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 |
|---|---|---|
| 87073-CPT | Low | Test For Bacteria Infection, A Sample Of Body Fluid Or Tissue Is Tested For Infectious Bacteria. One Or More Additional Tests Confirm The Result Identify The Bacteria And Estimate How Many Are Present. |
| 87075-CPT | Low | Test For Bacteria Infection, A Sample Of Body Fluid Or Tissue Is Tested For Infectious Bacteria. One Or More Additional Tests Confirm The Result Identify The Bacteria And Estimate How Many Are Present. |
| 87076-CPT | Low | Test For Bacteria Infection, A Sample Of Body Fluid Or Tissue Is Tested For Infectious Bacteria. One Or More Additional Tests Confirm The Result Identify The Bacteria And Estimate How Many Are Present. |
| 87077-CPT | Low | Test For Bacteria Infection, A Sample Of Body Fluid Or Tissue Is Tested For Infectious Bacteria. One Or More Additional Tests Confirm The Result Identify The Bacteria And Estimate How Many Are Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87076. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87076 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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