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See a sample rate comparisonCPT 87913 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.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory None 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service CS - COVID-19 testing cost-sharing |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 87913 |
| Medicaid Fee Schedule | View Medicaid rates for 87913 |
National average reimbursement for CPT 87913 by major payers:
$219.64
$158.24
$40.74
$231.11
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CPT 87913
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$566.39Published rateChristopher Raio
St Joseph Hospital
$305.85Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$189.85Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$108.13Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$90.11Published rate
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See a sample payer proposalCPT 87913 vs. Other Microbiology Procedures Codes
The CPT 87913 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 87913 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 |
|---|---|---|
| 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]) |
| 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. |
| 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 87913. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87913 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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