CPT 87502 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Pathology and Laboratory Procedures • Microbiology Procedures |
| Common Place of Service | • 11 - Office • 20 - Urgent Care Facility |
| Common Modifiers | • None • QW - CLIA Waived Tests • 26 - Professional component |
| Complexity Level | Low |
National average reimbursement for CPT 87502 by major payers:
$78.66
$63.34
$105.07
$167.64
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 87502 | ||||||
United | 87502 | $235.97 | 1790139160 - ASHLEY GEHRKE | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Nurse Practitioner (363L00000X) |
United | 87502 | $443.82 | 1679781231 - JENNIFER BURKE | 850127924 - SAN JUAN REGIONAL MEDICAL CENTER INC | NM | Certified Registered Nurse Anesthetist (367500000X) |
United | 87502 | $105.26 | 1255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN | 581685139 - (GA) THE MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 87502 | $95.80 | 1235417288 - SOUTHEASTERN REGIONAL MEDICAL CENTER, INC., SOUTHEASTERN REGIONAL MEDICAL CENTER, LLC | 264572436 - (GA) SOUTHEASTERN REGIONAL MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 87502 | $40.24 | 1992793137 - KAREN FLICK | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Nurse Practitioner (363L00000X) |
United | 87502 | $235.97 | 1891787016 - JASON SCHOMBURG | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Physical Therapist (225100000X) |
United | 87502 | $235.97 | 1790032977 - ROSS CARLSON | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Nurse Practitioner (363L00000X) |
United | 87502 | $235.97 | 1114154192 - BENJAMIN SIEBERT | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Physical Medicine & Rehabilitation Physician (208100000X) |
United | 87502 | $104.48 | 1437186111 - PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC. | 582179986 - (GA) PIEDMONT ATHENS REGIONAL MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 87502 | $235.97 | 1851321483 - KRISTEN BRAZZALE | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Nurse Practitioner (363L00000X) |
United | 87502 | $390.55 | 1679781231 - JENNIFER BURKE | 850127924 - SAN JUAN REGIONAL MEDICAL CENTER INC | NM | Certified Registered Nurse Anesthetist (367500000X) |
United | 87502 | $235.97 | 1710979935 - ROBERT DAUL | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Physical Therapist (225100000X) |
United | 87502 | $105.26 | 1255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN | 581685139 - (GA) THE MEDICAL CENTER INC | GA | General Acute Care Hospital (282N00000X) |
United | 87502 | $235.97 | 1578516803 - THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC, NEUROSCIENCE GROUP | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Neurological Surgery Physician (207T00000X) |
United | 87502 | $235.97 | 1568447605 - DAVID NEUENFELDT | 391731465 - (WI) THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC | WI | Physical Therapist (225100000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 87502 vs. Other Microbiology Procedures Codes
The CPT 87502 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 87502 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 |
|---|---|---|
| 87501-CPT | Low | Infectious Agent Detection By Nucleic Acid (Dna Orrna); Inflenza Virus Includes Reverse Transcription When Performed And Amplified Probetechnique Each Type Or Subtype (Desc Revised 01/01/15) |
| 87502-CPT | Low | Infectious Agent Detection By Nucleic Acid (Dna Orrna); Influenza Virus For Multiple Types Or Sub-Types Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique First 2 Types Or Sub-Types (Revised 01/01/2016) |
| 87503-CPT | Low | Infectious Agent Detection By Nucleic Acid (Dna Orrna); Influenza Virus For Multiple Types Or Sub-Types Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Each Additional Influenza Virus Type Or Sub-Type Beyond 2 (List Separately In Addition To Code For Primary Procedure) Revised 01/01/2016 |
| 87505-CPT | Low | Infectious Agent Detection By Nucleic Acid (Dna Orrna); Gastrointestinal Pathogen (Eg Clostridium Difficile E. Coli Salmonella Shigella Norovirus Giardia) Includes Multiplex Reverse Transcription When Performed And Multiplex Amplified Probe Technique Multiple Types Or Subtypes 3-5 Targets |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87502 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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