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See a sample rate comparisonCPT 80412 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Hormone Stimulation Test, Corticotropin-Releasing Hormone (Crh) Signals The Pituitary Gland To Release The Hormone Acth. This Tells The Adrenal Glands To Produce Cortisol. The Stimulation Test Measures How Well This Process Works.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Evocative/Suppression Testing Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | 91 - Repeat Lab Test |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $801.62 national lab fee schedule rate (2026) · View Medicare rates for 80412 |
| Medicaid Fee Schedule | $737.49 median of the 8 states in the free preview · View Medicaid rates for 80412 |
National average reimbursement for CPT 80412 by major payers:
$544.79
$390.77
$675.50
$1,092.35
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CPT 80412
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
St Francis Hospital
$1,058.14Published rateVhs San Antonio Partners, LLC, Northeast Baptist Hospital
$801.61Published ratePrisma Health-Upstate, Prisma Health Op Surgery Spartanburg
Prisma Health - Upstate
$721.46Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$451.71Published rateLeon Home Health, LLC, Leon At Home
$188.39Published rate
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See a sample payer proposalCPT 80412 vs. Other Evocative/Suppression Testing Procedures Codes
The CPT 80412 code is part of the Pathology and Laboratory Procedures services used for Evocative/Suppression Testing Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 80412 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 80408-CPT | Low | Aldosterone Hormone Test, Aldosterone Works With Renin A Kidney Enzyme To Regulate Salt And Potassium Levels. Because Of This Renin Often Is Measured Along With Aldosterone. Testing Can Show Problems With The Heart Kidney Liver Or Adrenal Glands. |
| 80410-CPT | Low | Calcitonin Hormone Test, This Test Measures The Level Of Calcitonin In A Blood Sample. Calcitonin Is A Hormone That Helps Process Calcium And Phosphorus. |
| 80412-CPT | Moderate | Hormone Stimulation Test, Corticotropin-Releasing Hormone (Crh) Signals The Pituitary Gland To Release The Hormone Acth. This Tells The Adrenal Glands To Produce Cortisol. The Stimulation Test Measures How Well This Process Works. |
| 80414-CPT | Low | Fertility Hormone Test, The Human Chorionic Gonadotropin (Hcg) Stimulation Test Helps To Determine Whether Reproductive Hormones Are Functioning Properly. Testosterone Estradiol Follicle Stimulating Hormone (Fsh) Or Luteinizing Hormone (Lh) Are Measured After An Injection Of Hcg. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80412 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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