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See a sample rate comparisonCPT 87626 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.
Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87626 |
| Medicaid Fee Schedule | View Medicaid rates for 87626 |
National average reimbursement for CPT 87626 by major payers:
$58.68
$70.08
$83.57
$674.26
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CPT 87626
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$219.02Published rateDouglas Hospital, Inc., Wellstar Douglas Hospital
Douglas Hospital Inc
$70.19Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$42.11Published rateRenal Consultants Medical Group
$29.47Published rateAlicia Encinas
Miguel A Arenas Md PC
$29.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87626 vs. Other Microbiology Procedures Codes
The CPT 87626 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 87626 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 |
|---|---|---|
| 87626-CPT | Low | Test For Papilloma Virus (Hpv), Test For Human Papilloma Virus (Hpv). The Test May Be Done Along With The Pap Test As Part Of A Womans Annual Pelvic Exam. The Test Also May Be Done To Evaluate An Abnormal Pap Result. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87626. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87626 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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