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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84443 |
| Medicaid Fee Schedule | View Medicaid rates for 84443 |
National average reimbursement for CPT 84443 by major payers:

$14.66

$12.03

$21.08

$24.42
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Family Health Of South Texas PA
Otero County Hospital Association
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Rate Benchmarking
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See a sample payer proposalCPT 84443 vs. Other Chemistry Procedures Codes
The CPT 84443 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 84443 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 |
|---|---|---|
| 84234-CPT | Low | Cancer Treatment Assessment, Testing The Receptive Ability Of The Hormone Progesterone Is Used To Assess The Likelihood Of Cancer Treatment Effectiveness. Treatment For Several Types Of Cancer May Be Evaluated With This Test. |
| 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. |
| 84443-CPT | Low | Thyroid Hormone Test, This Test Measures Thyroid Stimulating Hormone (Tsh) Which Can Be An Indicator Of An Over- Or Underactive Thyroid Gland. It Can Also Be Used To Monitor The Effectiveness Of Thyroid Gland Treatment. |
| 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). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84443. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84443 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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