Appendix Table 3.
Current Procedural Terminology (CPT) Codes for Sexually Transmitted Diseases (STD) Testing
| CPT code | Description | Medicaida | Privateb | Listc |
|---|---|---|---|---|
| Medical provider time | ||||
| 99201 | New patient office visit, Level 1 | $16.72 | $25.41 | $83.00 |
| 99202 | New patient office visit, Level 2 | $27.24 | $41.40 | $135.00 |
| 99203 | New patient office visit, Level 3 | $29.00 | $44.08 | $207.00 |
| 99204 | New patient office visit, Level 4 | $45.00 | $68.40 | $350.00 |
| 99205 | New patient office visit, Level 5 | $46.00 | $69.92 | $449.00 |
| Procedural | ||||
| 96372 | IM Injection for penicillin G benzathine (Bicillin L-A ®) and Ceftriaxone | $12.59 | $19.14 | $67.00 |
| 36415 | Routine Venipuncture | $1.80 | $2.74 | $17.00 |
| Laboratory | ||||
| 87491 | Chlamydia (NAAT) | $29.42 | $44.72 | $109.00 |
| 87591 | Gonorrhea (NAAT) | $29.42 | $44.72 | $109.00 |
| 87389 | HIV | $19.87 | $30.20 | $54.00 |
| 86592 | Syphilis (RPR) | $3.58 | $5.44 | $30.00 |
Notes: All provider time was billed as a Level 3 new patient office visit; costs for Levels 1, 2, 4, and 5 are included here for informational purposes only.
a
Based on 2015 Medicaid fee schedule.
b
Based on 152% of 2015 Medicaid fee schedule cost.
c
Based on current list prices at one institution.
IM, intramuscular dose; NAAT, nucleic acid amplification test; RPR, rapid plasma reagin test