CPT code 82642: DHT test, serum androgen measurement2026 Medicare lab fee · Clinical Laboratory Fee Schedule
A serum assay measures dihydrotestosterone when clinicians evaluate androgen disorders, including a suspected defect in testosterone-to-DHT conversion.
Medicare pays $29.28 for 82642 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
$29.28
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 82642 covers
A clinical laboratory measures dihydrotestosterone (DHT) concentration, typically in serum. Clinicians may order the test when evaluating abnormal androgen effects, such as virilization, or investigating a suspected defect in the conversion of testosterone to DHT, including 5-alpha-reductase deficiency. Results are interpreted with the clinical presentation and may be considered alongside testosterone measurements.
Report 82642 for the DHT assay performed; the code represents the measurement, not a panel of androgen tests. Medicare pays it through the Clinical Laboratory Fee Schedule (CLFS), with one national amount applying in every state and locality and no office or facility difference. The 2026 national CLFS amount is $29.28, unchanged since 2020. The assay is paid only through the CLFS, not 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 82642
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 82642. 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 82642 with status X (excluded by statute), so the test itself is paid only from the CLFS.
82642 on the lab fee schedule since 2020
82642 · CLFS 2026 Q4 (current)
$29.28
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.
82642 compared with similar tests
- 84403TestosteroneTotal hormone level$25.81
- 82642 measures DHT, a metabolite of testosterone; 84403 measures total testosterone. Use the code for the analyte actually tested.
- 82626DHEA testDHEA, not DHEA-S$25.27
- 82626 measures DHEA, an adrenal androgen, rather than DHT. The assays address different aspects of androgen status.
- 82627DHEA-SSulfated hormone level$22.23
- 82627 measures DHEA sulfate, not DHT. Select 82642 when the laboratory measures dihydrotestosterone.
82642 billing questions
When should 82642 be reported instead of a testosterone assay?
Report 82642 when the laboratory measures DHT. Testosterone assays measure a different androgen and do not substitute for the DHT result.
Is DHT part of a broader androgen panel under this code?
No. 82642 represents the DHT measurement; report other androgen assays separately when they are performed and appropriate.
How many units should be reported?
Report the assay performed under 82642. The code describes the DHT measurement, not a count of androgen analytes.
Does Medicare pay 82642 through the physician fee schedule?
No. Medicare pays this laboratory test through the CLFS, using one national amount across localities and settings.
How is physician-fee-schedule payment handled for 82642?
Medicare pays 82642 through the CLFS; the code is excluded from the physician fee schedule.
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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