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Assays via Capillary Electrophoresis (CE)


National
Limit
2025 Laboratory Fee Schedule
2025 Physician Fee Schedule

Fee schedules do not reflect 2% Payment Adjustment (Sequestration).
Click here for more information.


CAPILLARYS® Hemoglobin
Test Performed Procedure Code Medicare Coverage National Limit
Hemoglobin electrophoresis 83020
  CCI   MUE  
$12.87
Hemoglobin electrophoresis, Professional Component 83020-26
  CCI   MUE  
$17.14
Hemoglobin; glycosylated (A1C) 83036
  CCI   MUE   NCD
$9.71

CAPILLARYS® Protein
Test Performed Procedure Code Medicare Coverage National Limit
Protein, total 84155
  CCI   MUE  
$3.67
Protein, total, refractometric 84160
  CCI   MUE  
$5.61
Protein, electrophoretic fractionation and quantitation 84165
  CCI   MUE  
$10.74
Protein, electrophoretic fractionation and quantitation, Professional Component 84165-26
  CCI   MUE  
$17.14
Protein, electrophoretic fractionation and quantitation, other fluids with concentration 84166
  CCI   MUE  
$17.83
Protein, electrophoretic fractionation and quantitation, other fluids with concentration, Professional Component 84166-26
  CCI   MUE  
$17.14

CAPILLARYS® Immunotyping
Test Performed Procedure Code Medicare Coverage National Limit
Immunofixation electrophoresis; serum 86334
  CCI   MUE  
$22.34
Immunofixation electrophoresis; serum, Professional Component 86334-26
  CCI   MUE  
$17.14
Immunofixation electrophoresis; other fluids with concentration (eg,urine, CSF) 86335
  CCI   MUE  
$29.35
Immunofixation electrophoresis; other fluids with concentration (eg,urine, CSF), Professional Component 86335-26
  CCI   MUE  
$17.14
or Electrophoretic technique, not elsewhere specified 82664
  CCI   MUE  
$61.50

Coding Capillary Electrophoresis Procedures

In 2004, the American Medical Association denied a request for a separate method code for capillary electrophoresis wherein they stated that capillary electrophoresis can be reported using existing code:

82664--Electrophoretic technique, not elsewhere specified

The above code may be used to report the determination of analytes determined by capillary electrophoresis for which a more specific code does not exist.

Pathologist interpretation of capillary electrophoresis procedures may be reported using 80500 or 80502 as appropriate. (See Physician interpretation of Electrophoresis Assays)

CAPILLARYS® Carbohydrate-deficient transferrin (CDT)
Test Performed Procedure Code Medicare Coverage National Limit
Carbohydrate deficient transferrin (CDT) 82373
  CCI   MUE  
$18.06


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