CPT 84112 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84112 |
| Medicaid Fee Schedule | View Medicaid rates for 84112 |
National average reimbursement for CPT 84112 by major payers:
$72.58
$63.06
$90.39
$170.32
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 84112 | $36.90 | 1770670523 - BRIAN EADES | 621762570 - (UT) ASHLEY VALLEY PHYSICIAN PRACTICE LLC | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $58.86 | 1295814135 - AMY GIEDT | 462602656 - MIDWEST PHYSICIAN SERVICES LLC | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $54.38 | 1063829216 - LAWRENCE PHYSICIANS LLC, LAWRENCE OB/GYN SPECIALISTS | 471216616 | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $58.86 | 1053441659 - ORRIN MOORE | 480847946 - COMPREHENSIVE HEALTH OF PLANNED PARENTHOOD GREAT PLAINS INC | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $72.59 | 1881857290 - RYAN RIGGS | 474770075 - (MO) BLUE SKY FERTILITY SERVICES LLC | KS | Reproductive Endocrinology Physician (207VE0102X) |
United | 84112 | $54.38 | 1164407094 - MERLE HODGES | 481169103 - SALINA REGIONAL HEALTH CENTER INC | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $58.86 | 1790718708 - SHEREBANU GASLIGHTWALA | 462602656 - MIDWEST PHYSICIAN SERVICES LLC | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $54.38 | 1386819233 - LYNLEY HOLMAN | 471216616 | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $58.86 | 1184735508 - JAMES DELMORE | 900419749 - (MO) MIDWEST ONCOLOGY ASSOCIATES LLC | KS | Gynecologic Oncology Physician (207VX0201X) |
United | 84112 | $58.86 | 1073566774 - KANSAS CITY WOMEN'S CLINIC | 800508333 | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $54.38 | 1558307264 - JEFFREY TEPLY | 480764460 - (KS) LINCOLN CENTER OBGYN PA | KS | Obstetrics Physician (207VX0000X) |
United | 84112 | $58.86 | 1699710111 - KELLY BARIKMO | 481084280 - (KS) THE WOMENS HEALTHCARE GROUP PA | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $147.16 | 1326676982 - LESLIE WHITTENBURG | 481163756 - KANSAS UNIVERSITY PHYSICIANS INC | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $58.86 | 1649201369 - TIMOTHY HOSKINS | 830516935 | KS | Obstetrics & Gynecology Physician (207V00000X) |
United | 84112 | $58.86 | 1720234107 - CECILY CLARK-GANHEART | 431704371 - FREEMAN HEALTH SYSTEM | KS | Maternal & Fetal Medicine Physician (207VM0101X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 84112 vs. Other Chemistry Procedures Codes
The CPT 84112 code is part of the Pathology and Laboratory Procedures services used for Chemistry 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 84112 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 |
|---|---|---|
| 83970-CPT | Low | Parathyroid Hormone Test, Pth (Parathyroid Hormone) Helps The Body Absorb And Use Calcium And Phosphorus. Both Minerals Affect Bone Health. This Blood Test Identifies High Levels Of Pth Which Indicates The Body Is Losing Calcium And Phosphorus. |
| 83986-CPT | Low | Test Body Acid-Base Balance, The Test Measures The Acid-Alkaline Balance (Ph) In A Body Fluid. Ph Balance Helps The Physician Understand The Nature Cause Or Direction Of A Disease. |
| 84112-CPT | Low | Check For Ruptured Membranes, This Test Collects A Sample Of Fluid From The Cervix Or Vagina. If A Specific Type Of Protein Is Found It Is Assumed That The Amniotic Membrane Has Broken (Ruptured) Early. The Protein Is Called Pamg-1 Or Placental Alpha Microglobulin-1. |
| 84143-CPT | Low | Test For Hormone Problem, 17-Oh-Pregnenolone Is Related To Hormone Secretion And Normal Metabolic Wastes From The Adrenal Gland. This Hormone Is Tested For When A Condition Affecting Sexual Characteristics Is Suspected. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84112 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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