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See a sample rate comparisonCPT 87564 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.
Iadna Mtb Rifampin Resistance Amp Prb Tq, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Mycobacterium Tuberculosis Rifampin Resistance Amplified Prob
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87564 |
| Medicaid Fee Schedule | View Medicaid rates for 87564 |
National average reimbursement for CPT 87564 by major payers:
$69.01
$68.91
$20.52
$681.21
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CPT 87564
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$187.02Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$46.97Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$36.84Published rateWilliam Yang
Renal Consultants Medical Group
$32.24Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$32.24Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87564 vs. Other Microbiology Procedures Codes
The CPT 87564 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 87564 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 |
|---|---|---|
| 87564-CPT | Low | Iadna Mtb Rifampin Resistance Amp Prb Tq, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Mycobacterium Tuberculosis Rifampin Resistance Amplified Prob |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87564. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87564 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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