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See a sample rate comparisonCPT 87850 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.
Infectious Agent Detection By, Infectious Agent Detection By Immunoassay With Directoptical Observation Neisseria Gonorrhoeae Infectious Agent Detection By Immunoassay With Direct
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office 71 - Public Health Clinic |
| Common Modifiers | None 91 - Repeat Lab Test 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87850 |
| Medicaid Fee Schedule | View Medicaid rates for 87850 |
National average reimbursement for CPT 87850 by major payers:
$21.26
$12.90
$21.32
$33.89
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CPT 87850
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$40.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$32.42Published ratePrisma Health-Upstate, Prisma Health Hillcrest Hospital Vascular Lab
Prisma Health - Upstate
$22.10Published rateChristopher Raio
St Francis Hospital
$11.98Published rateProgressive Emergency Physicians PLLC
$4.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87850 vs. Other Microbiology Procedures Codes
The CPT 87850 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 87850 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 |
|---|---|---|
| 87802-CPT | Low | Infectious Agent Antigen Detec, Infectious Agent Antigen Detection By Immunoassay With Direct Optical (Ie Visual) Observation Streptococcus Group B |
| 87808-CPT | Low | Test For Vaginal Infection, This Test Helps To Determine The Specific Cause Of Vaginitis And May Be Performed After Negative Testing For Yeasts Or Trichomonas. |
| 87810-CPT | Low | Test To Confirm Chlamydia, This Is A Test For Confirming Infection With Chlamydia Trachomatis Commonly Transmitted Through Sexual Contact. The Sample Tested May Be Taken From The Cervix Urethra Or Urine. |
| 87850-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Immunoassay With Directoptical Observation Neisseria Gonorrhoeae Infectious Agent Detection By Immunoassay With Direct |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87850 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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