CPT 87590 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 | • 22 - On Campus Outpatient Hospital • 81 - Independent Laboratory • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87590 |
National average reimbursement for CPT 87590 by major payers:
$25.04
$16.73
$25.94
$39.00
| 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 87590 | ||||||
United | 87590 | $16.42 | 1386076248 - ASHISH GUPTA | 264312435 | MI | Neonatal-Perinatal Medicine Physician (2080N0001X) |
United | 87590 | $11.28 | 1811487432 - AUROSIS REDDY | 880236758 | NV | Family Medicine Physician (207Q00000X) |
United | 87590 | $12.34 | 1831325117 - SMITHA BEERAVOLU | 320302702 | VA | Family Medicine Physician (207Q00000X) |
United | 87590 | $100.47 | 1356332639 - YI-BIN CHEN | 42697983 - MASS GENERAL BRIGHAM INCORPORATED | MA | Hematology & Oncology Physician (207RH0003X) |
United | 87590 | $147.50 | 1649479767 - NAGHMA FAROOQI | 943281660 | TX | Obstetrics & Gynecology Physician (207V00000X) |
United | 87590 | $16.42 | 1043692767 - NORTON COMMUNITY PHYSICIANS SERVICES LLC, COMMUNITY PHYSICIANS ONCOLOGY | 260868690 | VA | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | 87590 | $17.55 | 1851369417 - RANDALL WOLF | 311365388 - (OH) DEACONESS HEALTH CARE SERVICES CO | TX | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X) |
United | 87590 | $12.06 | 1568751329 - AMANDA REECK | 741586031 | TX | Hospitalist Physician (208M00000X) |
United | 87590 | $100.47 | 1760449078 - GAIL LEVINE | 42312909 - MASS GENERAL BRIGHAM INCORPORATED | MA | Internal Medicine Physician (207R00000X) |
United | 87590 | $18.12 | 1538140835 - ELISE WALLACE | 822768899 - BEAUMONT MEDICAL GROUP - HOSPITAL-BASED SERVICES | MI | Obstetrics & Gynecology Physician (207V00000X) |
United | 87590 | $11.28 | 1184651895 - IAN BUTLER | 760459500 - U T PHYSICIANS | TX | Neurology with Special Qualifications in Child Neurology Physician (2084N0402X) |
United | 87590 | $11.28 | 1871137844 - SUSAN SMITH | 454575453 - (AL) MOBILE PEDIATRIC CLINIC, LLC | AL | Pediatrics Physician (208000000X) |
United | 87590 | $11.28 | 1073510939 - ISABEL CASARIEGO CRUZ | 590637874 - MARTIN MEMORIAL MEDICAL CENTER INC | FL | Family Medicine Physician (207Q00000X) |
United | 87590 | $14.77 | 1396805966 - JOEL MASSEY | 882517801 - MOCHI MEDICAL PA | TX | Family Medicine Physician (207Q00000X) |
United | 87590 | $11.77 | 1285051540 - SUCHIT PATEL | 260628752 - (LA) ST ELIZABETHMARY BIRD PERKINS CANCER CENTER LLC | NV | Radiation Oncology Physician (2085R0001X) |
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 87590 vs. Other Microbiology Procedures Codes
The CPT 87590 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 87590 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 |
|---|---|---|
| 87533-CPT | Low | Nucleic Acid Detection; Herpes Virus-6, Quantification |
| 87534-CPT | Low | Nucleic Acid Detection; Hiv-1, Direct Probe Technique |
| 87535-CPT | Low | Infectious Agent Detection By Nucleic Acid (Dna Orrna); Hiv-1 Amplified Probe Technique Includes Reverse Transcription When Performed (Revised 01/01/2014) |
| 87590-CPT | Low | Nucleic Acid Detection; Neisseria Gonorrhoeae, Direct 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 87590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87590 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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