CPT code 82960: G6PD screen, screening, not enzyme assay2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Code 82960 reports a laboratory G6PD enzyme screening test; use it when the performed service is screening rather than a G6PD enzyme assay.
Medicare pays $6.05 for 82960 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
$6.05
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 82960 covers
Code 82960 identifies a laboratory screening test for glucose-6-phosphate dehydrogenase (G6PD). It is distinct from 82955, which identifies a G6PD enzyme assay. Select 82960 when the service performed is screening; select 82955 when the performed service is the G6PD assay. Code selection follows the test performed, not simply the suspected condition or the fact that G6PD is being evaluated. This code identifies a screening service and should not represent the assay service identified by 82955.
Medicare pays 82960 only through the Clinical Laboratory Fee Schedule (CLFS). The 2026 national CLFS amount is $6.05, unchanged from 2020 through 2026; one amount applies across states and localities, with no geographic or office/facility adjustment. The test is excluded from the physician fee schedule by statute. Report the code that matches whether the laboratory performed screening or an enzyme assay.
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 82960
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 82960. 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 82960 with status X (excluded by statute), so the test itself is paid only from the CLFS.
82960 on the lab fee schedule since 2020
82960 · CLFS 2026 Q4 (current)
$6.05
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.
82960 compared with similar tests
- 82955G6PD assayQuantitative enzyme activity$9.70
- 82960 identifies a G6PD screen; 82955 identifies a G6PD enzyme assay. Select the code matching the service performed.
- 82965GLDH assayGlutamate dehydrogenase$13.15
- 82965 is an assay of GDH, a different enzyme. Use 82960 when the performed test is G6PD screening.
82960 billing questions
When should 82960 be selected instead of 82955?
Use 82960 when the laboratory performs G6PD screening. Use 82955 when it performs a G6PD enzyme assay.
Does 82960 identify a G6PD enzyme assay?
No. It identifies a G6PD screening test; 82955 identifies a G6PD enzyme assay.
Does Medicare pay 82960 under the physician fee schedule?
No. The test is excluded from the physician fee schedule by statute and is paid through the CLFS.
What documentation supports reporting 82960?
The order and laboratory record should identify G6PD screening as the service performed. Use 82955 when the record shows a G6PD enzyme 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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