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See a sample rate comparisonCPT 84512 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 Heart Muscle Injury, This Test Of Troponin (Proteins Key To Muscle Contractions) Is Done At Intervals During An Emergency Visit To Help Identify Whether The Heart Muscle Has Been Injured.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 20 - Urgent Care Facility 11 - Office |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $10.09 national lab fee schedule rate (2026) · View Medicare rates for 84512 |
| Medicaid Fee Schedule | $9.965 median of the 8 states in the free preview · View Medicaid rates for 84512 |
National average reimbursement for CPT 84512 by major payers:
$8.13
$6.09
$10.05
$14.38
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CPT 84512
5 of 25 sample ratesHigher to lower in this preview
All Ways Homecare Inc
$35.00Published rateVhs San Antonio Partners, LLC
$10.09Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$8.07Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$5.48Published rateE And A Medical On The Go Healthcare Of South Florida LLC, E And A Healthcare On The Go
E And A Medical On The Go Healthcare Of South Florida LLC
$3.52Published rate
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See a sample payer proposalCPT 84512 vs. Other Chemistry Procedures Codes
The CPT 84512 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 84512 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 |
|---|---|---|
| 84466-CPT | Low | Iron Protein Test, The Test Measures Levels Of Transferrin A Blood Protein Designed To Carry Iron. Because The Protein Is Made In The Liver Transferrin Amounts Change With Liver Disease Or Nutrition Problems. |
| 84478-CPT | Low | Triglycerides, Blood |
| 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. |
| 84512-CPT | Low | Test For Heart Muscle Injury, This Test Of Troponin (Proteins Key To Muscle Contractions) Is Done At Intervals During An Emergency Visit To Help Identify Whether The Heart Muscle Has Been Injured. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84512. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84512 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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