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See a sample rate comparisonCPT 84210 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.
Blood Test Pyruvate, This Blood Test Measures Pyruvate Which Is Formed As Digestion Breaks Down Carbohydrates And Proteins. When There Is A Deficiency The Cells Do Not Get Enough Energy.
| 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 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84210 |
| Medicaid Fee Schedule | View Medicaid rates for 84210 |
National average reimbursement for CPT 84210 by major payers:
$11.81
$8.98
$13.95
$21.03
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CPT 84210
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$60.00Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$17.20Published rateAmisub Of South Carolina, Inc., Piedmont Medical Center
Amisub Of South Carolina Inc
$14.47Published rateChristopher Raio
St Joseph Hospital
$8.69Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$6.08Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84210 vs. Other Chemistry Procedures Codes
The CPT 84210 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 84210 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 |
|---|---|---|
| 84206-CPT | Low | Digestive Enzyme Test, The Test Measures Proinsulin Made By The Pancreas To Help Digest Sugars. It Is Involved In The Conversion Of Glucose. |
| 84210-CPT | Low | Blood Test Pyruvate, This Blood Test Measures Pyruvate Which Is Formed As Digestion Breaks Down Carbohydrates And Proteins. When There Is A Deficiency The Cells Do Not Get Enough Energy. |
| 84255-CPT | Low | Selenium Trace Mineral Test, This Test Measures The Amount Of Selenium In The Body. Selenium Is A Trace Mineral Required To Make Antioxidants. It Is Also Good For Protecting The Body After Vaccination And Against Heavy Metals. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84210 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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