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See a sample rate comparisonCPT 87279 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.
Infect Agnt Antign Detect By Immunofluoresc Techniq; Par, Infectious Agent Antigen Detection By Immunofluorescent Technique; Par
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87279 |
| Medicaid Fee Schedule | View Medicaid rates for 87279 |
National average reimbursement for CPT 87279 by major payers:
$14.72
$10.12
$15.71
$23.51
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CPT 87279
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$55.00Published rateChristopher Raio
St Francis Hospital
$19.52Published ratePrisma Health-Upstate, Prisma Health Int Med/Subspec Clinic
Prisma Health - Upstate
$14.78Published rateChristopher Raio
Mercy Medical Center
$11.98Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$7.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87279 vs. Other Microbiology Procedures Codes
The CPT 87279 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 87279 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 |
|---|---|---|
| 87278-CPT | Low | Infectious Agent Antigen Detec, Infectious Agent Antigen Detection By Direct Fluorescentantibody Technique Legionella Pneumophila Infectious Agent Antigen Detection By Direct Fluorescent |
| 87279-CPT | Low | Infect Agnt Antign Detect By Immunofluoresc Techniq; Par, Infectious Agent Antigen Detection By Immunofluorescent Technique; Par |
| 87280-CPT | Low | Infectious Agent Antigen Detec, Infectious Agent Antigen Detection By Direct Fluorescentantibody Technique Respiratory Syncytial Virus Infectious Agent Antigen Detection By Direct Fluorescent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87279. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87279 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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