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See a sample rate comparisonCPT 87143 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 Infection, Test To Detect If An Infection Is Present In The Body. A Sample Of Blood Or Other Body Fluid Is Taken To See If Any Type Of Infection Is Present In The Sample Tested. Various Identification Methods Can Be Used.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87143 |
| Medicaid Fee Schedule | View Medicaid rates for 87143 |
National average reimbursement for CPT 87143 by major payers:
$12.79
$8.73
$14.16
$18.34
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CPT 87143
5 of 25 sample ratesHigher to lower in this preview
Tyler Regional Hospital LLC
$45.00Published rateEctor County Hospital District, Medical Center Hospital
$12.52Published rateGranbury Hospital Corporation, Lake Granbury Medical Center
Granbury Hospital Corporation
$12.52Published rateSt Joseph Regional Health Center, St Joseph Ambulatory Surgery
St Joseph Regional Health Center
$11.27Published rateSerge Lartchenko M.D., PLLC
Serge Lartchenko Md PLLC
$7.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87143 vs. Other Microbiology Procedures Codes
The CPT 87143 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 87143 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 |
|---|---|---|
| 87140-CPT | Low | Test For Infection, Test To Detect If An Infection Is Present In The Body. A Sample Of Blood Or Other Body Fluid Is Taken To See If Any Type Of Infection Is Present In The Sample Tested. Various Identification Methods Can Be Used. |
| 87143-CPT | Low | Test For Infection, Test To Detect If An Infection Is Present In The Body. A Sample Of Blood Or Other Body Fluid Is Taken To See If Any Type Of Infection Is Present In The Sample Tested. Various Identification Methods Can Be Used. |
| 87147-CPT | Low | Test For Infection, Test To Detect If An Infection Is Present In The Body. A Sample Of Blood Or Other Body Fluid Is Taken To See If Any Type Of Infection Is Present In The Sample Tested. Various Identification Methods Can Be Used. |
| 87149-CPT | Low | Test For Infection, Test To Detect If An Infection Is Present In The Body. A Sample Of Blood Or Other Body Fluid Is Taken To See If Any Type Of Infection Is Present In The Sample Tested. Various Identification Methods Can Be Used. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87143. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87143 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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