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See a sample rate comparisonCPT 87899 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 Cause Of Infection, A Test To Identify The Cause Of An Infection From A Sample Of Blood Urine Stool Or Spinal Fluid. One Or More Specific Microorganisms Is Identified Or Counted.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87899 |
| Medicaid Fee Schedule | View Medicaid rates for 87899 |
National average reimbursement for CPT 87899 by major payers:
$13.23
$10.02
$15.96
$22.81
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CPT 87899
5 of 25 sample ratesHigher to lower in this preview
Lasalle Parish Hospital Service Dist No1, Hardtner Medical Center
Hardtner Medical Center
$24.11Published rateSt Davids Healthcare Partnership Lp LLP, Round Rock Medical Center
$16.06Published rateCoastal Carolina Medical Center, Inc., Coastal Carolina Hospital
$16.06Published rateWilbarger County Hospital District, Wilbarger General Hospital
Wilbarger General Hospital Employee Benefit Plan
$7.13Published rateEastland Memorial Hospital District, Eastland Memorial Hospital
$6.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87899 vs. Other Microbiology Procedures Codes
The CPT 87899 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 87899 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 |
| 87803-CPT | Low | Test For Intestinal Infection, The Test Detects Toxins Produced By Clostridium Difficile Bacteria Which Causes Diarrhea And Usually Results From Antibiotic Use. |
| 87811-CPT | Low | Infectious Agent Antigen Detec, Infectious Agent Antigen Detection By Immunoassay With Direct Optical (Ie Visual) Observation Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-19]) |
| 87899-CPT | Low | Test For Cause Of Infection, A Test To Identify The Cause Of An Infection From A Sample Of Blood Urine Stool Or Spinal Fluid. One Or More Specific Microorganisms Is Identified Or Counted. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87899. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87899 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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