CPT 84481 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Chemistry Procedures Pathology and Laboratory Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84481 |
National average reimbursement for CPT 84481 by major payers:
$14.35
$11.84
$21.01
$24.61
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 84481 | $9.06 | 1144215898 - DARRIN ROTMAN | 650689799 - (FL) AMERICAN INSTITUTE OF DERMATOLOGY PA | FL | Dermatology Physician (207N00000X) |
United | 84481 | $7.61 | 1891780490 - MARC LAUFE | 320442710 | FL | Pulmonary Disease Physician (207RP1001X) |
United | 84481 | $7.11 | 1548269293 - MICHAEL GURUCHARRI | 591553509 - (FL) EAR NOSE AND THROAT ASSOCIATES OF MANATEE PA | FL | Otolaryngology Physician (207Y00000X) |
United | 84481 | $10.15 | 1114554870 - NEHA CHANDAN | 262003898 - (FL) SUNCOAST SKIN SOLUTIONS | FL | Dermatology Physician (207N00000X) |
United | 84481 | $7.11 | 1215913702 - MARY HURT | 421689325 - (FL) DERMATOLOGY SPECIALISTS OF NORTH FLORIDA PA | FL | Dermatology Physician (207N00000X) |
United | 84481 | $9.01 | 1447401955 - FLORIDA UROLOGY PARTNERS, LLP | 261300103 - (FL) FLORIDA UROLOGY PARTNERS | FL | Urology Physician (208800000X) |
United | 84481 | $7.11 | 1366431769 - COASTAL DERMATOLOGY PA, GOYAL DERMATOLOGY INC | 61644463 - (FL) COASTAL DERMATOLOGY PA | FL | Dermatology Physician (207N00000X) |
United | 84481 | $10.15 | 1982740775 - MICHAEL LUTZ | 262003898 - (FL) SUNCOAST SKIN SOLUTIONS | FL | Dermatology Physician (207N00000X) |
United | 84481 | $12.85 | 1720086366 - CHARLES ZELLER | 462021581 - FLORIDA HOSPITAL PHYSICIAN GROUP INC | FL | Otolaryngology Physician (207Y00000X) |
United | 84481 | $7.69 | 1306891239 - AL DEEB | 591668009 - (FL) A E DEEB MD PA | FL | Surgery Physician (208600000X) |
United | 84481 | $7.11 | 1568536126 - TIMOTHY KNIGHT | 208618397 - (FL) NORTH COUNTY DERMATOLOGY CLINIC PA | FL | Dermatology Physician (207N00000X) |
United | 84481 | $5.92 | 1558300814 - KEVIN DUSHAY | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Pulmonary Disease Physician (207RP1001X) |
United | 84481 | $5.92 | 1245740158 - LAUREN BOND | 921919591 - (FL) PRECISION HEALTHCARE SPECIALISTS LLC | FL | Family Nurse Practitioner (363LF0000X) |
United | 84481 | $12.93 | 1992047377 - ADRIANE ARGENIO | 992646504 | FL | Surgery Physician (208600000X) |
United | 84481 | $10.15 | 1316163157 - FELICIA HALL | 593156212 - (FL) FLORIDA MEDICAL CLINIC, LLC | FL | Dermatology Physician (207N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 84481 vs. Other Pathology and Laboratory Procedures Codes
The CPT 84481 code is part of the Chemistry Procedures services used for Pathology and Laboratory 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 84481 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 |
|---|---|---|
| 84479-CPT | Low | Thyroid Hormone Test, This Test Measures The Thyroid Glands Ability To Use Hormones By Detecting The Ratio Of Binding Protein (Tbg) To T3 Hormone. The Ratio Shows Whether The Thyroid Gland Is Over- Or Underactive. |
| 84480-CPT | Low | Thyroid Hormone Test, This Test Indicates How Well The Hormone T3 Is Being Used. Total T3 Is A General Indicator Of Thyroid Gland Disorders Such As An Overactive Thyroid Gland. |
| 84481-CPT | Low | Thyroid Hormone Test, This Test Indicates How Well The Hormone T3 Is Being Used. Total T3 Is A General Indicator Of Thyroid Gland Disorders Such As An Overactive Thyroid Gland. |
| 84482-CPT | Low | Thyroid Hormone Test, Reverse T3 Levels Increase When Thyroid Tests Are Abnormal But There Is No Actual Thyroid Gland Disorder. This Condition Is Called Euthyroid (Sick Thyroid Syndrome) And It Comes From Serious Illnesses Injuries Starvation Or Nutrition Deficiencies. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84481. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84481 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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