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See a sample rate comparisonCPT 87910 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.
Cytomegalovirus (Cmv) Test, A Test Of The Genetic Material Found In A Virus That Verifies Whether There Is An Infection By Cytomegalovirus (Cmv). Results Can Help Direct As Well As Measure Response To Treatment.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GZ - Item or Service Expected to Be Denied as Not Reasonable and Necessary 90 - Reference Laboratory |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 87910 |
| Medicaid Fee Schedule | View Medicaid rates for 87910 |
National average reimbursement for CPT 87910 by major payers:
$231.43
$178.33
$262.37
$387.03
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CPT 87910
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$566.39Published rateChristopher Raio
St Joseph Hospital
$339.83Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$260.42Published rateMichael Shuler
Athens Orthopedic Clinic, P.A.
$154.47Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$107.28Published rate
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See a sample payer proposalCPT 87910 vs. Other Microbiology Procedures Codes
The CPT 87910 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 87910 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 |
|---|---|---|
| 87901-CPT | Moderate | Test Antiviral Drug Resistance, This Test Evaluates Whether Or How Much Resistance The Hiv Virus May Have Developed To One Or More Drugs Or Drug Combinations. |
| 87903-CPT | Moderate | Phenotype Dna Hiv W Culture, Infectious Agent Phenotype Analysis By Nucleic Acid Dna Or Rna With Drug Resistance Tissue Culture Analysis Hiv 1 First Through 10 Drugs Tested |
| 87906-CPT | Low | Test Antiviral Drug Resistance, This Test Evaluates Whether Or How Much Resistance The Hiv Virus May Have Developed To One Or More Drugs Or Drug Combinations. |
| 87910-CPT | Moderate | Cytomegalovirus (Cmv) Test, A Test Of The Genetic Material Found In A Virus That Verifies Whether There Is An Infection By Cytomegalovirus (Cmv). Results Can Help Direct As Well As Measure Response To Treatment. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87910. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87910 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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