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See a sample rate comparisonCPT 84311 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.
Lab Analysis With Light Waves, Spectrophotometry Is A Testing Method That Examines Visible Ultraviolet And Infrared Light Waves Shone Onto A Body Fluid Sample. The Method Measures The Amount Of Light Absorbed By The Sample. Results Indicate Density Of A Material In The Fluid.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84311 |
| Medicaid Fee Schedule | View Medicaid rates for 84311 |
National average reimbursement for CPT 84311 by major payers:
$6.79
$5.34
$8.54
$12.07
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CPT 84311
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$17.82Published rateChristopher Raio
St Francis Hospital
$9.62Published rateOconee Medical Center
Prisma Health - Upstate
$7.28Published rateChildrens National Medical Center
Childrens Hospital
$4.86Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$3.91Published rate
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See a sample payer proposalCPT 84311 vs. Other Chemistry Procedures Codes
The CPT 84311 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 84311 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 |
|---|---|---|
| 84228-CPT | Low | Malaria Medication Monitoring, Quinine Is An Antimalarial Drug That Can Cause Severe Side Effects. Its Use Is Monitored To Ensure The Lowest Possible Therapeutic Dose As Well As To Check For Toxicity. |
| 84300-CPT | Low | Sodium Electrolyte Test, Sodium Is An Electrolyte Helping The Body Stay Hydrated. The Blood Test Determines Fluid Retention Or Dehydration. The Urine Test Detects Too Much Or Too Little Sodium. The Tests Help Monitor High Blood Pressure And Kidney Function. |
| 84302-CPT | Low | Sodium Electrolyte Test, Sodium Is An Electrolyte Helping The Body Stay Hydrated. The Blood Test Determines Fluid Retention Or Dehydration. The Urine Test Detects Too Much Or Too Little Sodium. The Tests Help Monitor High Blood Pressure And Kidney Function. |
| 84311-CPT | Low | Lab Analysis With Light Waves, Spectrophotometry Is A Testing Method That Examines Visible Ultraviolet And Infrared Light Waves Shone Onto A Body Fluid Sample. The Method Measures The Amount Of Light Absorbed By The Sample. Results Indicate Density Of A Material In The Fluid. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84311. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84311 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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