CPT code 82247: Bilirubin, total, blood specimen2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Measures total bilirubin in blood to evaluate jaundice and support assessment of hepatic, biliary, hemolytic, or neonatal hyperbilirubinemia.
Medicare pays $5.02 for 82247 under the 2026 Clinical Laboratory Fee Schedule: one national amount, the same in every state and setting.
Medicare lab fee · CLFS 2026 Q4
National CLFS amount
$5.02
In effect since Jan 1, 2026. The same amount in every state, payment locality and setting.
- Geographic adjustment
- None
- Office vs facility
- Same
- Since 2020
- Unchanged
- QW · CLIA-waived test
- $5.02
Medicare pays the lesser of the lab’s charge and this amount. Patients usually owe no Part B deductible or coinsurance for covered clinical lab tests.
On this page 8 sections
What 82247 covers
Total bilirubin testing measures the combined concentration of bilirubin forms in serum or plasma. Clinicians use it when evaluating jaundice, suspected liver or biliary disease, hemolysis, and neonatal hyperbilirubinemia, and to follow bilirubin abnormalities. Clinical laboratories perform the test as a chemistry assay; it may be ordered alone or as part of a chemistry or hepatic panel.
Report one test for each specimen tested, whether ordered alone or within a panel. Do not separately report 82247 when billing a panel that includes it. The CLIA-waived version is identified with modifier QW and may be performed by a site holding a CLIA certificate of waiver. Medicare pays under the CLFS only: the 2026 national amount is $5.02, unchanged since 2020. The same amount applies in every locality, without geographic adjustment or an office/facility difference.
This summary was written with AI assistance from CMS Clinical Laboratory Fee Schedule data. Amounts on this page come directly from CMS files.
How Medicare pays 82247
Clinical lab tests aren’t priced like physician services. They’re paid from their own fee schedule, with its own rules. See the whole lab fee schedule.
One national amount
CMS sets a single Clinical Laboratory Fee Schedule amount for 82247. There’s no geographic (GPCI) adjustment, so it pays the same in every state and payment locality.
No office or facility rate
Lab tests aren’t built from relative value units, so there’s no office and facility split: the place of service doesn’t change the CLFS amount.
Updated every quarter
CMS republishes the CLFS each quarter. New tests, often proprietary laboratory analyses (PLA codes), join during the year; existing amounts are updated each January.
Excluded from the physician fee schedule
The physician fee schedule lists 82247 with status X (excluded by statute), so the test itself is paid only from the CLFS.
CLIA-waived version (QW)
CMS also lists 82247 with modifier QW, the version labs holding a CLIA certificate of waiver bill. It pays $5.02.
82247 on the lab fee schedule since 2020
82247 · CLFS 2026 Q4 (current)
$5.02
Unchanged since Jan 1, 2020
27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.
82247 compared with similar tests
- 82248BilirubinDirect fraction$5.02
- 82247 measures total bilirubin; 82248 measures direct bilirubin. Choose based on which measurement was ordered and performed.
- 82252Fecal bilirubinQualitative, stool$4.56
- 82252 is a fecal bilirubin test. Use 82247 for a total bilirubin measurement in blood.
- 80076Liver panelSeven liver chemistry tests$8.17
- 80076 reports a hepatic function panel that includes total bilirubin along with other tests. Use 82247 when total bilirubin is ordered and reported as an individual test.
82247 billing questions
When should 82247 be used instead of 82248?
Use 82247 for the combined total bilirubin measurement. Use 82248 when the ordered test measures direct bilirubin.
Can 82247 be billed separately with a hepatic function panel?
The hepatic function panel (80076) includes total bilirubin. When the panel is billed, do not separately report 82247 for that included test.
When is modifier QW appropriate?
Use QW for the CLIA-waived version when the testing site holds a CLIA certificate of waiver. The modifier identifies the waived version of the test.
How many units are reported?
Report one test for each specimen tested. A panel that includes total bilirubin is reported as the panel rather than as a separate 82247 test.
How does Medicare pay for 82247?
Medicare pays for this test under the CLFS. The national amount applies across localities, with no geographic or office/facility adjustment.
Where this amount comes from
FeeBase reads lab amounts directly from the CMS Clinical Laboratory Fee Schedule file for the quarter: one row per code, with its payment indicator and national amount. Contractor-priced tests are labeled, never given a made-up amount. Amounts are Medicare payment limits, not a patient’s bill or a commercial rate.
CMS CLFS 2026 Q4 · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file line behind this amount
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