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See a sample rate comparisonCPT 84433 Fee Schedule
Last Verified: October 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.
Genetic Test For Drug Therapy, A Lab Test That Evaluates How Well A Drug Is Metabolized By The Body. This Helps To Identify The Most Effective Drug Therapy And The Likelihood Of Developing Severe Side Effects.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.17 national lab fee schedule rate (2026) · View Medicare rates for 84433 |
| Medicaid Fee Schedule | $21.675 median of the 8 states in the free preview · View Medicaid rates for 84433 |
National average reimbursement for CPT 84433 by major payers:
$17.16
$13.54
$27.57
$69.00
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CPT 84433
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$48.77Published rateChristopher Raio
St Joseph Hospital
$26.34Published rateBaycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$16.35Published rateCabrini Sutherland
Surgical Specialists Of Charlotte, PA
$11.09Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$8.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84433 vs. Other Chemistry Procedures Codes
The CPT 84433 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 84433 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 |
|---|---|---|
| 84244-CPT | Low | Kidney Enzyme (Renin) Test, This Test Is Related To Treatment For High Blood Pressure. It Can Show If A Person Is Sensitive To Salt. |
| 84433-CPT | Low | Genetic Test For Drug Therapy, A Lab Test That Evaluates How Well A Drug Is Metabolized By The Body. This Helps To Identify The Most Effective Drug Therapy And The Likelihood Of Developing Severe Side Effects. |
| 84445-CPT | Low | Overactive Thyroid Test, The Test Detects The Amount Of Thyroid Stimulating Antibody. If There Is Enough Present Then The Thyroid Gland Will Be Overactive (Hyperthyroidism). |
| 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 84433. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84433 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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