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See a sample rate comparisonCPT 87270 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.
Infectious Agent Antigen Detec, Infectious Agent Antigen Detection By Direct Fluorescentantibody Technique Chlamydia Trachomatis Infectious Agent Antigen Detection By Direct Fluorescent
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office None |
| Common Modifiers | None QW - CLIA Waived Tests EP - Residential facility to Physician's office |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87270 |
| Medicaid Fee Schedule | View Medicaid rates for 87270 |
National average reimbursement for CPT 87270 by major payers:
$11.97
$8.68
$12.73
$17.62
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CPT 87270
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$55.00Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$12.11Published rateVhs San Antonio Partners, LLC
$11.97Published ratePrisma Health-Upstate, Prisma Health Op Surgery Spartanburg
Prisma Health - Upstate
$10.77Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$4.19Published rate
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See a sample payer proposalCPT 87270 vs. Other Microbiology Procedures Codes
The CPT 87270 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 87270 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 |
|---|---|---|
| 87269-CPT | Low | Giardia (Parasite) Test, The Test Examines A Stool Sample For The Giardia Parasite. Infection Causes Diarrhea Intestinal Cramping And Dehydration. |
| 87270-CPT | Low | Infectious Agent Antigen Detec, Infectious Agent Antigen Detection By Direct Fluorescentantibody Technique Chlamydia Trachomatis Infectious Agent Antigen Detection By Direct Fluorescent |
| 87271-CPT | Low | Cytomegalovirus (Cmv) Test, The Test Detects Infection By A Cytomegalovirus (Cmv). These Common Viruses Cause A Variety Of Illnesses Including Common Upper Respiratory Infections Hepatitis Mononucleosis Intestinal Infections. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87270. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87270 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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