CPT code 87532: HHV-6 DNA test, amplified probe detection2026 Medicare lab fee · Clinical Laboratory Fee Schedule
This amplified-probe nucleic acid test detects HHV-6 DNA and is reported when the laboratory performs HHV-6 DNA detection by this method.
Medicare pays $35.09 for 87532 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
$35.09
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 87532 covers
This laboratory assay detects human herpesvirus-6 (HHV-6) DNA by an amplified-probe nucleic acid method. It reports detection rather than a quantitative viral result. Select it when the HHV-6 test performed uses amplified-probe detection; direct-probe detection and quantitative HHV-6 DNA testing are represented by different codes. Clinical laboratories perform and report the assay for the ordering clinician.
Report 87532 for amplified-probe HHV-6 DNA detection, not direct-probe detection or quantitative testing. The code distinguishes this assay by both the HHV-6 target and the amplified-probe method. Medicare pays it through the CLFS at one national amount for every state and locality, with no office-versus-facility difference. The 2026 national CLFS amount is $35.09, unchanged since 2020. The test is paid only through the CLFS.
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 87532
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 87532. 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 87532 with status X (excluded by statute), so the test itself is paid only from the CLFS.
87532 on the lab fee schedule since 2020
87532 · CLFS 2026 Q4 (current)
$35.09
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.
87532 compared with similar tests
- 87531HHV-6 DNA testDirect probe detection$58.00
- Both codes detect HHV-6 DNA. Choose 87532 for amplified-probe detection and 87531 for direct-probe detection.
- 87533HHV-6 DNAQuantitative assay$41.76
- 87533 is the quantitative HHV-6 DNA test. This code is for amplified-probe detection rather than quantification.
- 87529HSV DNA testAmplified probe$35.09
- 87529 detects herpes simplex virus DNA, whereas this code targets HHV-6 DNA. The target organism determines the appropriate code.
87532 billing questions
How does this code differ from 87531?
Both detect HHV-6 DNA, but 87532 represents amplified-probe detection and 87531 represents direct-probe detection. Select the code that matches the method performed.
When should 87533 be reported instead?
Use 87533 for quantitative HHV-6 DNA testing. This code represents amplified-probe detection rather than quantification.
Does this code describe an HHV-6 antibody test?
No. It describes nucleic acid detection of HHV-6 DNA, not serologic antibody testing.
How does Medicare pay for this test?
Medicare pays the test through the CLFS at one national amount, with no locality or office-versus-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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