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    OpenPayerBilling CodesChemistry ProceduresCPT cpt-82627-dhea-sulfate-analysis-adrenal-function
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    CPT 82627: Dehydroepiandrosterone–Sulfate (DHEA‑S) Measurement

    Commercial payers pay $66 on average nationally for this procedure.

    CPT code 82627 reports laboratory measurement of dehydroepiandrosterone–sulfate (DHEA‑S), a steroid precursor used to evaluate adrenal hormone function; the service is a clinical chemistry endocrine assay (laboratory analysis) typically performed in an outpatient laboratory or hospital clinical laboratory setting to assist in assessing conditions such as adrenal hyperplasia, adrenal neoplasm, ovarian disorders, Cushing’s disease, or disorders related to delayed puberty and hirsutism.

    For related coverage guidance, see recent payer policy updates: Salivary Hormone Testing, Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing, Bone Turnover Markers Testing.

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    National Reimbursement Benchmarks

    Commercial rates for CPT 82627 cluster around BUCA’s average commercial benchmark of $66.10, with notable variation across national payers. Blue Cross Blue Shield shows the highest central tendency (median $91.60) and a wide upper tail (max $313.40), while Aetna and Cigna sit closer to BUCA’s midpoint with medians of $18.30 and $19.90 respectively. UnitedHealth Group’s median of $13.30 is lower than BUCA, and BUCA’s published mean of $66.10 represents the broader commercial market center used here.

    Dispersion measured by the interquartile range (P75–P25) is narrowest for Aetna at $9.10 (P75 $25.70 minus P25 $16.00) and widest for Blue Cross Blue Shield at $39.60 (P75 $117.80 minus P25 $82.59). UnitedHealth Group and Cigna have intermediate dispersion of $12.20 and $19.40 respectively, indicating more variability with Blue Cross Blue Shield driving the largest spread in commercial pricing for this code.

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    National Payer Mean Reimbursement Rates

    State Reimbursement Rates

    State: Alaska1 / 51

    Rate by payer

    Clinical & Coding Specifications

    Clinical Context

    A 16-year-old female presents to an endocrinology clinic with progressive hirsutism, irregular menses, and delayed secondary sexual development. The endocrinologist obtains a focused history and orders laboratory evaluation to assess adrenal and gonadal androgen production. A blood specimen is collected in the outpatient clinic phlebotomy area and sent to the clinical laboratory for measurement of dehydroepiandrosterone–sulfate using 82627. The lab performs the assay, documents specimen quality and assay method, and reports quantitative DHEA-S results in the electronic medical record. Results are reviewed by the ordering clinician alongside other endocrine studies (e.g., testosterone, cortisol, LH/FSH) to evaluate for adrenal hyperplasia, adrenal neoplasm, polycystic ovarian syndrome, or other causes of androgen excess. Typical site of service: outpatient clinic or hospital outpatient laboratory; service type: clinical laboratory diagnostic chemistry assay.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    84146Prolactin measurementOrdered alongside 82627 to evaluate endocrine causes of menstrual dysfunction and hirsutism.

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    90Modifier ‑90 (Reference/Outside Laboratory) indicates that a laboratory test was performed by an entity other than the treating or reporting provider. The American Medical Association defines…- Use CPT modifier -90 when a laboratory test is performed by an outside/reference laboratory (an entity other than the treating or reporting physician or qualified professional) and the claim needs…
    91Modifier 91 — “Repeat Clinical Diagnostic Laboratory Test” — is appended when the exact same CPT laboratory test is performed more than once for the same patient on the same day because serial,…- Use modifier 91 when the exact same CPT laboratory test is performed more than once on the same patient on the same date because serial or repeated testing is medically necessary to monitor…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    291U00000XClinical Medical Laboratory(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, c…
    207Q00000XFamily Medicine PhysicianFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
    207RE0101XEndocrinology, Diabetes & Metabolism PhysicianAn internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with …
    2471V0105XVascular Sonography Radiologic TechnologistA radiologic technologist who specializes in vascular sonography and is trained in the use of ultrasound equipment to image veins and arteries, which …
    367H00000XAnesthesiologist AssistantAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants …
    163WD0400XDiabetes Educator Registered NurseNursing Service Providers · Registered Nurse
    207X00000XOrthopaedic Surgery PhysicianAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated…
    1835P1300XPsychiatric PharmacistA licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and mo…

    Related ICD-10-CM Codes

    31 rows

    ICD-10-CM CodeDescription
    E03.9Hypothyroidism, unspecified
    E16.2Hypoglycemia, unspecified
    E23.0Hypopituitarism
    E24.0Pituitary-dependent Cushing's disease
    E24.9Cushing's syndrome, unspecified
    E25.0Congenital adrenogenital disorders associated with enzyme deficiency
    E25.9Adrenogenital disorder, unspecified
    E27.0Other adrenocortical overactivity
    E27.8Other specified disorders of adrenal gland
    E27.9Disorder of adrenal gland, unspecified

    Showing 1–10 of 31

    Related Payer Policy Updates

    Specialty: Endocrinology1 / 3

    10 rows

    PolicyPayerEffective Date
    Salivary Hormone TestingOscar Health2026-10-01
    Parathyroid Hormone, Phosphorus, Calcium, and Magnesium TestingOscar Health2026-10-01
    Bone Turnover Markers TestingOscar Health2026-10-01
    Testosterone — Coverage Criteria for Measurement and MonitoringOscar Health2026-10-01
    Diabetes Mellitus Testing — Coverage CriteriaOscar Health2026-10-01
    Thyroid Disease TestingOscar Health2026-10-01
    Thyroid Disease Testingblue cross blue shield - louisiana2026-09-15
    Thyroid Disease TestingBlue Cross Blue Shield - New Mexico2026-09-04
    Parathyroid Hormone, Phosphorous, Calcium and Magnesium TestingBlue Cross Blue Shield - New Mexico2026-09-04
    Testosterone laboratory testing and managementPremera Bluecross2026-09-04

    Related Codes

    CPT-82009-KETONE-BODIES-QUALITATIVE-TEST

    CPT 82009: Qualitative Ketone Bodies Test

    CPT-82010-QUANTITATIVE-KETONE-BODIES-ASSAY-SERUM-PLASMA

    CPT 82010: Quantitative Ketone Bodies in Serum or Plasma

    CPT-82013-ACETYLCHOLINESTERASE-QUANTITATIVE-ASSAY

    CPT 82013: Quantitative Acetylcholinesterase (Acetylhydrolase) Assay

    CPT-82016-QUALITATIVE-ACYLCARNITINES-METABOLIC-SCREEN

    CPT 82016: Qualitative Acylcarnitines, Plasma/Serum/Urine

    CPT-82017-QUANTITATIVE-ACYLCARNITINE-ANALYSIS

    CPT 82017: Quantitative Acylcarnitine Analysis

    CPT-82024-QUANTITATIVE-CORTICOTROPIN-ACTH-ASSAY

    CPT 82024: Adrenocorticotropic Hormone (ACTH) Quantitative Assay

    CPT-82030-QUANTITATIVE-CAMP-PLASMA-URINE-ASSAY

    CPT 82030: Quantitative cyclic AMP assay on plasma or urine

    CPT-82040-QUANTITATIVE-ALBUMIN-MEASUREMENT

    CPT 82040: Quantitative Albumin Measurement

    CPT-82042-QUANTITATIVE-ALBUMIN-NONBLOOD-FLUID

    CPT 82042: Albumin Quantitation in Non-Blood Body Fluid

    CPT-82043-URINE-ALBUMIN-QUANTITATION-KIDNEY-DISEASE

    CPT 82043: Urine Albumin Quantitative Assay

    Showing 1–10 of 411

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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    84403
    Total testosterone measurement
    Complements DHEA-S to distinguish adrenal versus ovarian sources of androgen excess.
    82533Cortisol measurementAssesses adrenal function and helps evaluate Cushing’s disease in differential diagnosis.
    83001Gonadotropin; follicle stimulating hormone (FSH)Used to assess ovarian function in workup of delayed puberty and menstrual irregularity.
    83002Gonadotropin; luteinizing hormone (LH)Paired with FSH to evaluate hypothalamic-pituitary-ovarian axis in the same clinical workflow.