CPT code 83030: Fetal hemoglobin, chemical, quantitative2026 Medicare lab fee · Clinical Laboratory Fee Schedule
A chemical measurement of fetal hemoglobin in blood, reported when clinicians evaluate or characterize elevated HbF and hemoglobin disorders.
Medicare pays $10.74 for 83030 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
$10.74
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 83030 covers
This test measures fetal hemoglobin (HbF) in a blood specimen using a chemical method. Clinicians may order it when evaluating an elevated HbF level or characterizing a hemoglobin disorder, including thalassemia or sickle cell disease. Hematology and clinical laboratories perform and report the test for the ordering clinician.
Report 83030 for the chemical HbF measurement; it is distinct from a qualitative HbF assay or a broader hemoglobin separation study. Unlike the qualitative assay, 83030 reports an amount of HbF rather than only its presence. Medicare pays the test only under the CLFS. The 2026 national CLFS amount is $10.74, unchanged since 2020. One national amount applies in every state and locality, with no geographic or office-versus-facility adjustment.
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 83030
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 83030. 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 83030 with status X (excluded by statute), so the test itself is paid only from the CLFS.
83030 on the lab fee schedule since 2020
83030 · CLFS 2026 Q4 (current)
$10.74
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.
83030 compared with similar tests
- 83033Fetal hemoglobinQualitative assay$8.00
- 83030 is the chemical measurement of HbF; 83033 is a qualitative HbF assay.
- 83020Hemoglobin electrophoresisFractionation by electrophoresis$12.87
- 83020 reports hemoglobin electrophoresis, a separation study. Choose 83030 when the service is the chemical measurement of fetal hemoglobin.
- 83021Hemoglobin analysisChromatography-based fractionation$18.06
- 83021 reports hemoglobin chromatography. It is not the code for a chemical fetal hemoglobin measurement.
83030 billing questions
How does 83030 differ from 83033?
83030 reports a chemical measurement of fetal hemoglobin. 83033 is the qualitative fetal hemoglobin assay.
When should a hemoglobin separation code be used instead?
Use 83020 or 83021 when the service performed is hemoglobin electrophoresis or chromatography, respectively, rather than the chemical HbF measurement.
What should the order or documentation support?
Documentation should identify the clinical reason for measuring fetal hemoglobin and the chemical test performed, such as evaluation of elevated HbF or a hemoglobin disorder.
How does Medicare pay for 83030?
Medicare pays 83030 from the CLFS at one national amount. The amount is the same across localities and does not vary between office and facility settings.
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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