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See a sample rate comparisonCPT 89160 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.
Stool Meat Fiber Analysis, This Is A Nutrition And Digestion Test That Analyzes A Stool Sample For Meat Waste Product.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Other Pathology and Laboratory Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.85 national lab fee schedule rate (2026) · View Medicare rates for 89160 |
| Medicaid Fee Schedule | $4.79 median of the 8 states in the free preview · View Medicaid rates for 89160 |
National average reimbursement for CPT 89160 by major payers:
$4.53
$3.06
$5.33
$7.37
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CPT 89160
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$55.00Published rateChristopher Raio
Mercy Medical Center
$5.76Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$3.73Published rateBaptist Health Care, Inc., Baptist Home Healt Care And Medical Equipment
Baptist Health Care Inc
$2.16Published rateBrittany Ptachick
Hroa 401k Plan
$2.04Published rate
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See a sample payer proposalCPT 89160 vs. Other Other Pathology and Laboratory Procedures Codes
The CPT 89160 code is part of the Pathology and Laboratory Procedures services used for Other Pathology and Laboratory 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 89160 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 |
|---|---|---|
| 89125-CPT | Low | Fat Stain, Feces, Urine, Sputum |
| 89160-CPT | Low | Stool Meat Fiber Analysis, This Is A Nutrition And Digestion Test That Analyzes A Stool Sample For Meat Waste Product. |
| 89190-CPT | Low | Allergy Test Nasal Swab, A Mucous Sample From The Nose Is Examined For Eosinophils A Type Of White Blood Cell. Increased Quantities Of Eosinophils In The Mucus Can Indicate Allergies. |
| 89220-CPT | Low | Sputum (Mucus) Collection, Collection Of Mucus From The Lower Part Of The Lungs Done By Inhaling A Saline Solution Mist That Causes A Person To Cough. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 89160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 89160 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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