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See a sample rate comparisonCPT 87512 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 Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Gardnerella Vaginalis Quantification Infec Tious 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 | 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $41.76 national lab fee schedule rate (2026) · View Medicare rates for 87512 |
| Medicaid Fee Schedule | $38.50 median of the 8 states in the free preview · View Medicaid rates for 87512 |
National average reimbursement for CPT 87512 by major payers:
$41.15
$30.12
$43.50
$60.45
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CPT 87512
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$91.87Published rateChristopher Raio
St Joseph Hospital
$55.12Published rateKph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
$41.75Published rateAll Ways Homecare Inc
$35.00Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$14.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87512 vs. Other Microbiology Procedures Codes
The CPT 87512 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 87512 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 |
|---|---|---|
| 87510-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Gardnerella Vaginalis Direct Probe Techniqu E Infectious Agent Detection By Nucleic Acid (Dnaor Rna) |
| 87511-CPT | Low | Test For Vaginal Infection, The Test Evaluates A Sample Of Vaginal Discharge Or Fluid For Gardnerella Bacteria. The Infection Causes Discharge And Irritation. |
| 87512-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Gardnerella Vaginalis Quantification Infec Tious Agent Detection By Nucleic Acid (Dna Or Rna) |
| 87513-CPT | Low | H Pylri Clrthmcn Rst Amp Prb, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Helicobacter Pylori (H. Pylori) Clarithromycin Resistance Amplified Probe Technique |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87512. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87512 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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