CPT code guide

CPT code guide: what Medicare pays for common hospital charges

Each page explains one code in plain English, shows the official Medicare national rate and lists the questions to ask before you pay. Rates come from the CMS fee schedules, last updated October 2026.

Emergency visits

99285ER visit, level 5 99284ER visit, level 4 99283ER visit, level 3

Office visits

99213office visit, established patient, level 3 99214office visit, established patient, level 4 99204office visit, new patient, level 4

Lab tests

85025complete blood count (CBC) with differential 80053comprehensive metabolic panel 80048basic metabolic panel 36415blood draw (venipuncture)81003automated urinalysis (without microscopy)83036hemoglobin A1c test (average blood sugar)88305tissue exam by a pathologist (surgical pathology)82306vitamin D blood test (25-hydroxy)84443thyroid stimulating hormone (TSH) blood test 87798infectious agent test by nucleic acid (PCR)80061lipid panel (cholesterol test)87086urine culture (bacteria colony count)85610prothrombin time (PT/INR) clotting test 82607vitamin B12 blood test

Imaging

71046chest X-ray, 2 views 71045chest X-ray, 1 view 74177CT scan of abdomen and pelvis with contrast 70450CT scan of the head without contrast 71250CT scan of the chest without contrast 77067screening mammogram, both breasts 72148MRI of the lower spine without contrast 77080bone density scan (DXA), spine and hips

Heart tests

93005electrocardiogram (ECG) tracing only 93306echocardiogram (heart ultrasound) with Doppler 93000electrocardiogram (ECG), complete with interpretation 93010electrocardiogram (ECG), interpretation and report only

IV and injections

96365IV infusion, first hour 96374IV push, single or first drug 96375additional IV push of a different drug 96372injection under the skin or into a muscle

Drugs and fluids

J7030normal saline, 1,000 cc bag J2405ondansetron injection (per 1 mg)

Therapy and mental health

97110therapeutic exercise (physical therapy)98941chiropractic spinal adjustment, 3 to 4 regions 90837psychotherapy session, 60 minutes 97530therapeutic activities (physical or occupational therapy)

Procedures and surgery

67028injection of medication into the eye 66984cataract surgery with lens implant 20610joint injection or drainage (major joint)17110destruction of benign skin lesions such as warts (up to 14)11042wound debridement, down to subcutaneous tissue 45378colonoscopy (diagnostic)43239upper endoscopy (EGD) with biopsy 64483epidural steroid injection (lower back, one level)

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