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See a sample rate comparisonCPT 87627 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.
Jt Spc Pthgn&Rx Rsist Gen26+, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Joint Space Pathogens And Drug Resistance Genes Multiplex Amplified Probe Technique 26 Or More Targets
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 87627 |
| Medicaid Fee Schedule | View Medicaid rates for 87627 |
National average reimbursement for CPT 87627 by major payers:
$545.51
$742.03
$1,221.48
$N/A
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CPT 87627
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See a sample payer proposalCPT 87627 vs. Other Microbiology Procedures Codes
The CPT 87627 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 87627 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 |
|---|---|---|
| 87627-CPT | Moderate | Jt Spc Pthgn&Rx Rsist Gen26+, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Joint Space Pathogens And Drug Resistance Genes Multiplex Amplified Probe Technique 26 Or More Targets |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87627. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87627 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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