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83700 Lipopro bld electrophoretic

What 83700 is

CMS fee schedule short descriptor: Lipopro bld electrophoretic.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 83700 (CY2026)

This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 83700 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 83700? These codes are bundled into it

83700 is a Column 1 code in 8 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
80503Path clin consltj sf 5-201 - modifier may bypassCheck pair
80504Path clin consltj mod 21-401 - modifier may bypassCheck pair
80505Path clin consltj high 41-601 - modifier may bypassCheck pair
80506Path clin consltj prolng svc1 - modifier may bypassCheck pair
83718Assay of lipoprotein0 - no modifier bypassCheck pair
83719Assay of blood lipoprotein0 - no modifier bypassCheck pair
83721Assay of blood lipoprotein0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

83700 is bundled into these codes

83700 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 83700 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0052U0Check pair
83701Lipoprotein bld hr fraction0Check pair
83704Lipoprotein bld quan part1Check pair
83722Lipoprtn dir meas sd ldl chl0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.