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See a sample rate comparisonCPT 87483 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.
Cns Dna Amp Probe Type 12 25, Infectious Agent Detection By Nucleic Acid Dna Or Rna Central Nervous System Pathogen Eg Neisseria Meningitidis Streptococcus Pneumoniae Listeria Haemophilus Influenzae E Coli Streptococcus Agalactiae Enterovirus Human Parechovirus Herpes Simplex Virus Type 1 And 2 Human Herpesvirus 6 Cytomegalovirus Varicella Zoster Virus Cryptococcus Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Multiple Types Or Subtypes 12 25 Targets
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component GZ - Item or Service Expected to Be Denied as Not Reasonable and Necessary |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 87483 |
| Medicaid Fee Schedule | View Medicaid rates for 87483 |
National average reimbursement for CPT 87483 by major payers:
$364.00
$290.20
$421.06
$625.33
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CPT 87483
5 of 25 sample ratesHigher to lower in this preview
Billie Sturgeon
Neuroscience Group Of Northeast Wisconsin, S.C.
$1,026.61Published rateThomas Mattio
Neuroscience Group Of Northeast Wisconsin, S.C.
$1,026.61Published rateResolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
$416.77Published ratePrisma Health-Upstate, Prisma Health Cancer Inst-Seneca
Prisma Health - Upstate
$375.10Published rateBsa Hospital LLC
$175.05Published rate
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See a sample payer proposalCPT 87483 vs. Other Microbiology Procedures Codes
The CPT 87483 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 87483 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 |
|---|---|---|
| 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. |
| 87483-CPT | Moderate | Cns Dna Amp Probe Type 12 25, Infectious Agent Detection By Nucleic Acid Dna Or Rna Central Nervous System Pathogen Eg Neisseria Meningitidis Streptococcus Pneumoniae Listeria Haemophilus Influenzae E Coli Streptococcus Agalactiae Enterovirus Human Parechovirus Herpes Simplex Virus Type 1 And 2 Human Herpesvirus 6 Cytomegalovirus Varicella Zoster Virus Cryptococcus Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Multiple Types Or Subtypes 12 25 Targets |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87483. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87483 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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