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See a sample rate comparisonCPT 87799 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 Of Infection Type, This Test Identifies The Cause Of An Infection (Bacteria Or Virus) By Isolating And Identifying Its Genetic Signature (Dna). Sample Material Can Be Taken From Stool Mucus Or Other Body Fluid.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87799 |
| Medicaid Fee Schedule | View Medicaid rates for 87799 |
National average reimbursement for CPT 87799 by major payers:
$39.84
$31.06
$49.19
$62.11
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CPT 87799
5 of 25 sample ratesHigher to lower in this preview
Thibodaux Regional Health System Inc
$42.84Published rateMartine Extermann
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$25.70Published rateHayder Saeed
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$25.70Published rateAmy Jayson
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$21.85Published rateElizabeth Smith
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$21.85Published rate
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See a sample payer proposalCPT 87799 vs. Other Microbiology Procedures Codes
The CPT 87799 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 87799 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 |
|---|---|---|
| 87534-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Hiv-1 Direct Probe Technique Infectious Ag Ent Detection By Nucleic Acid (Dna Or Rna) |
| 87797-CPT | Low | Test Of Infection Type, This Test Identifies The Cause Of An Infection (Bacteria Or Virus) By Isolating And Identifying Its Genetic Signature (Dna). Sample Material Can Be Taken From Stool Mucus Or Other Body Fluid. |
| 87798-CPT | Low | Test Of Infection Type, This Test Identifies The Cause Of An Infection (Bacteria Or Virus) By Isolating And Identifying Its Genetic Signature (Dna). Sample Material Can Be Taken From Stool Mucus Or Other Body Fluid. |
| 87799-CPT | Low | Test Of Infection Type, This Test Identifies The Cause Of An Infection (Bacteria Or Virus) By Isolating And Identifying Its Genetic Signature (Dna). Sample Material Can Be Taken From Stool Mucus Or Other Body Fluid. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87799. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87799 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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