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See a sample rate comparisonCPT 84202 Fee Schedule
Last Verified: September 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.
Test For Exposure To Lead, Test Of Whole Blood For The Amount Of Protoporphyrin For Diagnosis Of Various Anemias Or Lead Toxicity.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84202 |
| Medicaid Fee Schedule | View Medicaid rates for 84202 |
National average reimbursement for CPT 84202 by major payers:
$12.75
$10.03
$15.93
$20.90
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CPT 84202
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$35.00Published rateNatchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
$18.86Published rateChristopher Raio
Mercy Medical Center
$13.52Published rateChristopher Raio
Mercy Medical Center
$8.61Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$5.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84202 vs. Other Chemistry Procedures Codes
The CPT 84202 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 84202 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 |
|---|---|---|
| 84202-CPT | Low | Test For Exposure To Lead, Test Of Whole Blood For The Amount Of Protoporphyrin For Diagnosis Of Various Anemias Or Lead Toxicity. |
| 84203-CPT | Low | Test For Exposure To Lead, Test Of Whole Blood For The Amount Of Protoporphyrin For Diagnosis Of Various Anemias Or Lead Toxicity. |
| 84260-CPT | Low | Serotonin Test, This Test Evaluates Either A Blood Or Spinal Fluid Sample For Serotonin. The Test Is Used To Help In Diagnosis Of Severe Depression Or Intestinal Tumors That Affect Serotonin Levels. |
| 84432-CPT | Low | Test Thyroid Immune Function, The Test Evaluates The Immune Function Of The Thyroid Gland By Checking For Thyroglobulin An Antibody That Causes The Thyroid Gland To Self-Destruct. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84202 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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