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See a sample rate comparisonCPT 87999 Fee Schedule
Last Verified: October 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.
Microorganism Analysis, Test To Identify Microorganisms. Methods Range From Viewing A Sample With A Microscope To Dividing A Sample Into Parts And Running A Different Test On Each One.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory 99 - Other POS |
| Common Modifiers | QW - CLIA Waived Tests 26 - Professional component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 87999 |
| Medicaid Fee Schedule | $24.25 median of the 4 states in the free preview · View Medicaid rates for 87999 |
National average reimbursement for CPT 87999 by major payers:
$867.06
$17.24
$7.58
$38.04
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CPT 87999
5 of 25 sample ratesHigher to lower in this preview
Kimberly Yarnall
Mountain Valley Orthopedics, P.C.
$68.00Published rateAll Ways Homecare Inc
$55.00Published rateDa Pediatric Rehabilitation
$40.00Published rateCovenant Medical Center
$6.07Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$2.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 87999 vs. Other Microbiology Procedures Codes
The CPT 87999 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 87999 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. |
| 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. |
| 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) |
| 87999-CPT | Moderate | Microorganism Analysis, Test To Identify Microorganisms. Methods Range From Viewing A Sample With A Microscope To Dividing A Sample Into Parts And Running A Different Test On Each One. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87999 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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Frequently Asked Questions
The CPT 87999 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 87999 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.