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See a sample rate comparisonCPT 84252 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 Vitamin B2 Deficiency, This Test Can Measure A Deficiency Of Vitamin B2 (Riboflavin). Riboflavin Is Used To Process Carbohydrates And Helps With Blood Cell And Overall Body Development.
| 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 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84252 |
| Medicaid Fee Schedule | View Medicaid rates for 84252 |
National average reimbursement for CPT 84252 by major payers:
$17.48
$14.45
$22.55
$29.57
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CPT 84252
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$44.53Published rateChristopher Raio
St Francis Hospital
$24.05Published rateColumbia Medical Center Of Denton Subsidiary Lp, Medical City Denton
Columbia Medical Center Of Denton Subsidiary Lp
$20.23Published ratePrisma Health-Upstate
Prisma Health - Upstate
$18.21Published rateChristopher Raio
St Francis Hospital
$10.93Published rate
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See a sample payer proposalCPT 84252 vs. Other Chemistry Procedures Codes
The CPT 84252 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 84252 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 |
|---|---|---|
| 84207-CPT | Low | Pyridoxine (Vitamin B 6) |
| 84252-CPT | Low | Test Vitamin B2 Deficiency, This Test Can Measure A Deficiency Of Vitamin B2 (Riboflavin). Riboflavin Is Used To Process Carbohydrates And Helps With Blood Cell And Overall Body Development. |
| 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. |
| 84446-CPT | Low | Vitamin E Deficiency Test, The Test Checks For A Deficiency Of Vitamin E An Antioxidant That Is Also Helpful In Forming Red Blood Cells. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84252. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84252 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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