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See a sample rate comparisonCPT 84425 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.
Vitamin B1 Deficiency Test, This Test Can Measure A Deficiency Of Vitamin B1 (Thiamine). Thiamine Helps Convert Carbohydrates To Energy And Is Good For The Heart Muscles And Nerves.
| 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 84425 |
| Medicaid Fee Schedule | View Medicaid rates for 84425 |
National average reimbursement for CPT 84425 by major payers:
$18.21
$14.83
$23.62
$30.97
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CPT 84425
5 of 25 sample ratesHigher to lower in this preview
Pmc Hospital, LLC, St. Luke'S Patients Medical Center
Pmc Hospital, LLC
$39.31Published rateTops Specialty Hospital, Ltd., Tops Surgical Specialty Hospital
Tops Specialty Hospital Ltd
$21.22Published rateColumbia Medical Center Of Lewisville Subsidiary Lp, Medical City Lewisville
De Marketing And Sales
$21.22Published rateUs Health Partners, LLC
Us Health Partners LLC
$21.22Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$8.92Published rate
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See a sample payer proposalCPT 84425 vs. Other Chemistry Procedures Codes
The CPT 84425 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 84425 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 |
|---|---|---|
| 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. |
| 84425-CPT | Low | Vitamin B1 Deficiency Test, This Test Can Measure A Deficiency Of Vitamin B1 (Thiamine). Thiamine Helps Convert Carbohydrates To Energy And Is Good For The Heart Muscles And Nerves. |
| 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. |
| 84460-CPT | Low | Liver Enzyme (Alt) Test, This Test Measures Alanine Aminotransferase (Alt) An Enzyme Made In The Liver That Transforms Amino Acids To Energy For Cells. The Test Helps To Evaluate Liver Disease. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84425. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84425 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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