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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | None EP - Residential facility to Physician's office 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87110 |
| Medicaid Fee Schedule | View Medicaid rates for 87110 |
National average reimbursement for CPT 87110 by major payers:

$19.48

$13.67

$21.40

$40.63
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Good Samaritan Hosptial Medical Center
Baycare Home Care Inc
U T Physicians
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Rate Benchmarking
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See a sample payer proposalCPT 87110 vs. Other Microbiology Procedures Codes
The CPT 87110 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 87110 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 |
|---|---|---|
| 87101-CPT | Low | Fungal Culture, A Sample Of Skin Hair Nail Blood Urine Stool Or Other Body Fluid Is Treated So That If Mold Or Yeast Spores Are Present They Will Grow (Multiply). |
| 87102-CPT | Low | Fungal Culture, A Sample Of Skin Hair Nail Blood Urine Stool Or Other Body Fluid Is Treated So That If Mold Or Yeast Spores Are Present They Will Grow (Multiply). |
| 87110-CPT | Low | Chlamydia Bacterial Culture, This Analysis Checks For Infection With Chlamydia Bacteria. A Sample From The Cervix Urinary Tract Rectum Eye Or Nose Is Used To Determine If Chlamydia Bacteria Grow From It. Chlamydia Can Cause Infections In The Eyes Reproductive System Lungs An Airways. |
| 87116-CPT | Low | Test To Confirm Tuberculosis, This Test Verifies A Tuberculosis (Tb) Infection. Usually A Sample Of Mucus From A Cough Is Tested. The Sample Is Examined Under A Microscope And Some Is Placed Into A Substance That Encourages Tb Bacteria To Multiply. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87110 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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