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See a sample rate comparisonHCPCS S3800 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.
Genetic testing for amyotrophic lateral sclerosis (ALS)
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Genetic Testing |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for S3800 |
National average reimbursement for HCPCS S3800 by major payers:
$155.77
$525.91
$174.44
$525.20
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HCPCS S3800
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See a sample payer proposalHCPCS S3800 vs. Other Genetic Testing Codes
The HCPCS S3800 code is part of the Temporary National Codes (Non-Medicare) services used for Genetic Testing. 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 HCPCS S3800 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 |
|---|---|---|
| S3722-HCPCS | Low | Dose optimization by area under the curve (AUC) analysis, for infusional 5-fluorouracil |
| S3800-HCPCS | Low | Genetic testing for amyotrophic lateral sclerosis (ALS) |
| S3840-HCPCS | Low | DNA analysis for germline mutations of the RET proto-oncogene for susceptibility to multiple endocrine neoplasia type 2 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S3800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S3800 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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