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See a sample rate comparisonCPT 87480 Fee Schedule
Last Verified: September 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 Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Candida Species Direct Probe Technique Inf Ectious Agent Detection By Nucleic Acid (Dna Or Rna)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87480 |
| Medicaid Fee Schedule | View Medicaid rates for 87480 |
National average reimbursement for CPT 87480 by major payers:
$19.77
$14.72
$22.62
$29.09
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CPT 87480
5 of 25 sample ratesHigher to lower in this preview
St. Luke'S Community Health Services, St. Luke'S The Woodlands Hospital
St Lukes Community Health Services
$37.13Published rateTenet Hospitals Limited, The Hospitals Of Providence Memorial Campus
$20.04Published rateHospital Service District No. 1 Of The Parish Of St. Mary, Bayou Bend Health System
Hospital Service District No 1 Of The Parish Of St Mary
$18.04Published rateTexas Spine And Joint Hospital, LLC, Baylor Scott & White Tx Spine & Joint Hos Sur Ctr
Texas Spine And Joint Hospital
$11.47Published rateBsa Hospital LLC
$8.42Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87480 vs. Other Microbiology Procedures Codes
The CPT 87480 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 87480 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 |
|---|---|---|
| 87476-CPT | Low | Test For Lyme Disease, Lyme Disease Is Caused By Borrelia Burgdorferi And This Test Detects Antibodies Produced In Response. A Follow-Up Test Confirms A Positive Result. The Test Sample May Be Spinal Fluid Blood Or Urine. |
| 87480-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Candida Species Direct Probe Technique Inf Ectious Agent Detection By Nucleic Acid (Dna Or Rna) |
| 87481-CPT | Low | Test For Candida Infection, Candida Albicans Is A Type Of Yeast That Is A Common Cause Of Infections. A Blood Test To Detect Candida Is Used To Diagnose Widespread Infections. |
| 87482-CPT | Low | Test For Candida Infection, Candida Albicans Is A Type Of Yeast That Is A Common Cause Of Infections. A Blood Test To Detect Candida Is Used To Diagnose Widespread Infections. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87480. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87480 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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