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See a sample rate comparisonCPT 84410 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.
Testosterone; Bioavailable Direct Measurement (Eg Differential Precipitation). (Reinstated 01/01/2017). Thallium Blood Or Urine (Del 03/31/2003)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84410 |
| Medicaid Fee Schedule | View Medicaid rates for 84410 |
National average reimbursement for CPT 84410 by major payers:
$43.34
$36.33
$55.16
$94.25
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CPT 84410
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks LLC
$75.00Published rateColumbia Medical Center Of Mckinney Subsidiary Lp, Medical City Mckinney
Columbia Medical Center Of Mckinney Subsidiary Lp
$51.27Published rateBrazos Valley Physicians Organization,Mso-LLC, The Physicians Centre
Brazos Valley Physicians Organizationmsollc
$51.27Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$51.27Published rateEl Campo Memorial Hospital
$21.54Published rate
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See a sample payer proposalCPT 84410 vs. Other Chemistry Procedures Codes
The CPT 84410 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 84410 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 |
|---|---|---|
| 84379-CPT | Low | Test Sugar Level In Specimen, The Test Is Used To Evaluate If An Infant Is Not Meeting Growth Benchmarks (Failure To Thrive) As A Result Of Inherited Imbalances In Fructose Sucrose Or Lactose. |
| 84402-CPT | Low | Testosterone Hormone Test, Testosterone Helps Balance Male-Female Secondary Sex Characteristics Like Body Hair. Results Help Evaluate Pituitary Gland And Sex Gland Conditions. |
| 84403-CPT | Low | Testosterone Hormone Test, Testosterone Helps Balance Male-Female Secondary Sex Characteristics Like Body Hair. Results Help Evaluate Pituitary Gland And Sex Gland Conditions. |
| 84410-CPT | Low | Testosterone; Bioavailable Direct Measurement (Eg Differential Precipitation). (Reinstated 01/01/2017). Thallium Blood Or Urine (Del 03/31/2003) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84410 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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