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See a sample rate comparisonCPT 87280 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 Respiratory Syncytial Virus Infectious Agent Antigen Detection By Direct Fluorescent
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87280 |
| Medicaid Fee Schedule | View Medicaid rates for 87280 |
National average reimbursement for CPT 87280 by major payers:
$12.61
$9.12
$13.73
$19.46
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CPT 87280
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$29.52Published rateChristopher Raio
Mercy Medical Center
$15.94Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$13.42Published rateChristopher Raio
St Francis Hospital
$7.25Published rateEl Campo Memorial Hospital
$5.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87280 vs. Other Microbiology Procedures Codes
The CPT 87280 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 87280 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 |
|---|---|---|
| 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 |
| 87281-CPT | Low | Test For Rsv Infection, Test For Respiratory Syncytial Virus (Rsv) An Infection That Can Be Severe For Infants And Young Children. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87280 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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