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See a sample rate comparisonCPT 87912 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 Chronic Hepatitis B, This Test Examines Genetic Material Of The Hepatitis B Virus To Find Out Whether The Infection Is Chronic. Hepatitis B Can Damage The Liver. Testing Also Monitors The Response To Treatment.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 87912 |
| Medicaid Fee Schedule | View Medicaid rates for 87912 |
National average reimbursement for CPT 87912 by major payers:
$227.18
$178.41
$256.01
$383.17
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CPT 87912
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$566.39Published rateChristopher Raio
Mercy Medical Center
$352.80Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$260.42Published rateMolly Mcintosh
Baycare Medical Group Inc
$148.32Published rateBrittany Ptachick
Hroa 401k Plan
$108.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87912 vs. Other Microbiology Procedures Codes
The CPT 87912 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 87912 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 |
|---|---|---|
| 87900-CPT | Low | Drug Resistance Testing, Analysis Of Drug Resistance To A Specific Virus. The Test Is Used To Determine The Effectiveness Of Select Medication Treatment For Hiv Or Other Viruses. |
| 87902-CPT | Moderate | Identify Hepatitis C Subtype, This Blood Test Identifies The Hcv Subtype Causing Hepatitis C Infection. It Also Assesses Disease Prognosis Likely Response To Therapy And The Source Of The Hcv Infection. |
| 87912-CPT | Moderate | Test For Chronic Hepatitis B, This Test Examines Genetic Material Of The Hepatitis B Virus To Find Out Whether The Infection Is Chronic. Hepatitis B Can Damage The Liver. Testing Also Monitors The Response To Treatment. |
| 87913-CPT | Moderate | Nfct Agt Gntyp Alys Sarscov2, Infectious Agent Genotype Analysis By Nucleic Acid (Dna Or Rna); Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) (Coronavirus Disease [Covid-19]) Mutation Identification In Targeted Region(S) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87912. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87912 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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