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See a sample rate comparisonCPT 87594 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 Pneumocystis Jirovecii Amplified Probe Tq, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Pneumocystis Jirovecii Amplified Probe Technique
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87594 |
| Medicaid Fee Schedule | View Medicaid rates for 87594 |
National average reimbursement for CPT 87594 by major payers:
$31.67
$35.03
$4.00
$646.67
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CPT 87594
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$85.48Published rateHospital Authority Of Mitchell County, Mitchell County Hospital
Hospital Authority Of Mitchell County
$35.09Published rateScreven County Hospital
$21.04Published rateHospital Authority Of Jenkins County
$16.84Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$14.73Published rate
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See a sample payer proposalCPT 87594 vs. Other Microbiology Procedures Codes
The CPT 87594 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 87594 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 |
|---|---|---|
| 87594-CPT | Low | Iadna Pneumocystis Jirovecii Amplified Probe Tq, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Pneumocystis Jirovecii 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 87594. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87594 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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