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See a sample rate comparisonCPT 84485 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.
Test For Trypsin Secretion, The Test Looks For Trypsin In A Sample Of Fluid From The Large Intestine. Trypsin Is An Enzyme Secreted By The Pancreas That Helps Digest Proteins. The Test Evaluates Suspected Problems With The Pancreas Or Digestion.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 81 - Independent Laboratory |
| Common Modifiers | 26 - Professional component 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | $7.20 national lab fee schedule rate (2026) · View Medicare rates for 84485 |
| Medicaid Fee Schedule | $7.11 median of the 8 states in the free preview · View Medicaid rates for 84485 |
National average reimbursement for CPT 84485 by major payers:
$6.51
$5.60
$8.16
$10.58
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CPT 84485
5 of 25 sample ratesHigher to lower in this preview
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Horizon City Campus
Hcn Ep Horizon City LLC
$22.50Published rateChristopher Raio
St Francis Hospital
$8.55Published rateTenet Hospitals Limited, The Hospitals Of Providence Memorial Campus
$7.19Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$5.25Published rateMatthew Lilley
The Orthopedic And Neurosurgical Center Of The Cascades
$3.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84485 vs. Other Chemistry Procedures Codes
The CPT 84485 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 84485 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 |
|---|---|---|
| 84485-CPT | Low | Test For Trypsin Secretion, The Test Looks For Trypsin In A Sample Of Fluid From The Large Intestine. Trypsin Is An Enzyme Secreted By The Pancreas That Helps Digest Proteins. The Test Evaluates Suspected Problems With The Pancreas Or Digestion. |
| 84488-CPT | Low | Test Of Pancreas Function, This Test Evaluates The Pancreas Function Related To Digestion. A Fecal Sample Is Tested For Trypsin To Confirm A Problem With Secretion Of Digestive Enzymes Or Poor Absorption Of Nutrients. |
| 84490-CPT | Low | Test Of Pancreas Function, This Test Evaluates The Pancreas Function Related To Digestion. A Fecal Sample Is Tested For Trypsin To Confirm A Problem With Secretion Of Digestive Enzymes Or Poor Absorption Of Nutrients. |
| 84702-CPT | Low | Test To Measure Hcg, This Test Measures Hcg (Human Chorionic Gonadotropin) In Blood Or Urine A Protein That Is Elevated In Conditions Related To Conception Pregnancy And Some Cancers In Both Women And Men. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84485. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84485 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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