How much does Medicare pay for CPT 82653?

Medicare allowed an average of $22.48 per service and paid $22.48 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $272.18, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82653?

Measurement of pancreatic elastase (enzyme) in stool. It was billed 66,676 times to 64,466 Medicare beneficiaries by 103 providers in 2024.

Which specialty bills 82653 most?

Clinical Laboratory, with 64,920 services from 95 clinicians. Next are Pathology, Gastroenterology, Physician Assistant.

CPT 82653

Measurement of pancreatic elastase (enzyme) in stool

$22.48Medicare-allowed amount per service, averaged across 66,676 services

Providers submitted

$272.18

Asking price, not received

Medicare allowed

$22.48

The fee schedule figure

Medicare paid

$22.48

Balance is patient coinsurance

Providers submitted an average of $272.18 for this code and Medicare allowed $22.48 — 12.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $22.48 (100%); the rest is the patient’s coinsurance and deductible.

Services: 66,676
Beneficiaries: 64,466
Providers billing it: 103
Total allowed: $1,498,876

What Medicare pays for CPT 82653

Across 66,676 services billed by 103 providers to 64,466 beneficiaries, Medicare allowed an average of $22.48 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 82653

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	64,920	62,759	$22.49	95
Pathology	1,681	1,634	$22.38	4
Gastroenterology	32	31	$22.51	2
Physician Assistant	22	21	$22.51	1
Emergency Medicine	21	21	$22.51	1

82653 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
North Carolina	22,377	$22.50	$22.51	2
New Jersey	6,731	$22.51	$22.51	6
Florida	5,902	$22.51	$22.51	5
California	4,877	$22.50	$22.51	8
Arizona	3,916	$22.48	$22.51	3
Texas	3,850	$22.50	$22.51	9
Tennessee	2,398	$22.43	$22.51	4
Georgia	1,905	$22.51	$22.51	1
New York	1,525	$22.49	$22.51	5
Massachusetts	1,518	$22.51	$22.51	3
Alabama	1,512	$22.48	$22.51	3
Maryland	1,229	$22.40	$22.51	4
Ohio	1,163	$22.46	$22.51	6
Kansas	928	$22.51	$22.51	3
Pennsylvania	857	$22.51	$22.51	4
Illinois	753	$22.51	$22.51	1
Washington	713	$22.44	$22.51	5
Utah	601	$22.51	$22.51	2
Wisconsin	592	$22.33	$22.51	3
Minnesota	572	$22.50	$22.51	3
Virginia	525	$22.51	$22.51	4
Oklahoma	509	$22.47	$22.51	2
Nevada	487	$22.51	$22.51	1
New Mexico	226	$22.42	$22.51	1
Colorado	196	$22.51	$22.51	2
Hawaii	163	$22.40	$22.51	2
Oregon	121	$22.06	$22.51	2
Mississippi	113	$22.51	$22.51	2
Rhode Island	109	$22.51	$22.51	1
Indiana	102	$22.51	$22.51	1
South Dakota	67	$22.51	$22.51	1
Maine	64	$22.51	$22.51	1
Michigan	32	$5.02	$5.02	1
Louisiana	23	$22.51	$22.51	1
Connecticut	20	$22.51	$22.51	1

Related codes

82607Cyanocobalamin (vitamin b-12) level$14.76
82670Measurement of total estradiol (hormone)$27.32
82627Dehydroepiandrosterone (dhea-s) hormone level$21.75
82652Dihydroxyvitamin d$37.66
82626Dehydroepiandrosterone (dhea) hormone level$24.75
82610Cystatin c (enzyme inhibitor) level$18.12
82668Erythropoietin (protein) level$18.38
82677Estriol (hormone) level$23.69
82672Estrogen analysis$21.25
82679Estrone (hormone) level$24.43
82656Detection of pancreatic elastase (enzyme) in stool$11.29
82642Measurement of dihydrotestosterone$28.61

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.