CPT 84132 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 | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84132 |
| Medicaid Fee Schedule | View Medicaid rates for 84132 |
National average reimbursement for CPT 84132 by major payers:
$3.55
$3.34
$5.80
$7.21
CPT 84132 vs. Other Chemistry Procedures Codes
The CPT 84132 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 84132 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 |
|---|---|---|
| 84060-CPT | Low | Acid Phosphatase Test, Acid Phosphatase Is An Enzyme That Frees Phosphates During Digestion. It Is Found In Organs And The Blood. Testing For Levels Is Useful In Assessing Cancers Affecting Skeletal Muscle Leukemia And In Staging Prostate Cancer. |
| 84078-CPT | Low | Enzyme (Alk Phos) Blood Test, Alkaline Phosphatase (Alk Phos Or Alp) Testing Checks For High Levels Of The Enzyme In A Blood Sample. Testing For Specific Enzymes Gives Clues About The Precise Nature Of A Problem. Alp Enzymes Affect Bones The Liver And Nutrient Absorption. |
| 84132-CPT | Low | Potassium Electrolyte Test, Potassium Is An Electrolyte Critical For Heart And Skeletal Muscles. The Blood Test Measures Overall Potassium. The Urine Test Verifies High Levels Related To Kidney Disease. |
| 84133-CPT | Low | Potassium Electrolyte Test, Potassium Is An Electrolyte Critical For Heart And Skeletal Muscles. The Blood Test Measures Overall Potassium. The Urine Test Verifies High Levels Related To Kidney Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84132. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84132 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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