CPT code 82626: DHEA test, DHEA, not DHEA-S2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Measures dehydroepiandrosterone in a blood sample to assess androgen production, including suspected adrenal androgen excess or deficiency.
Medicare pays $25.27 for 82626 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
$25.27
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
- CMS updates
- Quarterly
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 82626 covers
This laboratory assay measures dehydroepiandrosterone (DHEA), an androgen precursor produced mainly by the adrenal glands. Clinicians may order it when evaluating signs of androgen excess, such as hirsutism or virilization, or when assessing suspected adrenal hormone abnormalities. The test is performed by a clinical laboratory on a blood sample; the ordering clinician interprets the result alongside symptoms and other hormone findings.
Report 82626 for the DHEA assay itself, not for dehydroepiandrosterone sulfate (DHEA-S), which has a separate code. Medicare pays this test through the Clinical Laboratory Fee Schedule at one national amount, with no locality or office-versus-facility adjustment. The 2026 national CLFS amount is $25.27, unchanged since 2020. The test is paid only under the CLFS, rather than the physician fee schedule.
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 82626
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 82626. 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 82626 with status X (excluded by statute), so the test itself is paid only from the CLFS.
82626 on the lab fee schedule since 2020
82626 · CLFS 2026 Q4 (current)
$25.27
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.
82626 compared with similar tests
- 82627DHEA-SSulfated hormone level$22.23
- Use 82626 for DHEA and 82627 for DHEA sulfate. The analytes are related but are not interchangeable.
- 84403TestosteroneTotal hormone level$25.81
- 84403 measures total testosterone, not DHEA. It may be ordered alongside DHEA when evaluating androgen production.
- 82642DHT testSerum androgen measurement$29.28
- 82642 measures dihydrotestosterone. Use 82626 when the assay performed measures DHEA.
82626 billing questions
How does 82626 differ from 82627?
82626 measures DHEA. Code 82627 is for DHEA sulfate, a different analyte; select the code that matches the test the laboratory performed.
Is DHEA the same as testosterone or DHEA-S?
No. DHEA is an androgen precursor, testosterone is a separate hormone, and DHEA-S is the sulfated form of DHEA.
What should the medical record support?
Documentation should identify the clinical reason for measuring DHEA, such as evaluation of androgen excess or a suspected adrenal hormone abnormality.
How does Medicare pay for 82626?
Medicare pays 82626 through the CLFS at one national rate across localities, without an office or facility difference. The test is paid only through the CLFS.
Is 82626 reported for each hormone analyte?
Report 82626 for the DHEA assay performed. Do not use it to represent a DHEA-S or testosterone assay.
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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