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See a sample rate comparisonCPT 84583 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.
Urobilinogen,Urine;Semiquantitative
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Complexity Level | Low |
| Medicare Fee Schedule | $6.05 national lab fee schedule rate (2026) · View Medicare rates for 84583 |
| Medicaid Fee Schedule | $5.975 median of the 8 states in the free preview · View Medicaid rates for 84583 |
National average reimbursement for CPT 84583 by major payers:
$5.13
$3.89
$6.40
$8.51
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CPT 84583
5 of 25 sample ratesHigher to lower in this preview
Restorative Health Rehabilitation Inc
$55.00Published rateChristopher Raio
Mercy Medical Center
$7.99Published ratePrisma Health-Upstate, Prisma Health Op Surgery Patewood
Prisma Health - Upstate
$5.44Published rateBaycare Home Care, Inc.
Baycare Home Care Inc
$5.09Published rateBrittany Ptachick
Hroa 401k Plan
$2.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84583 vs. Other Chemistry Procedures Codes
The CPT 84583 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 84583 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 |
|---|---|---|
| 84578-CPT | Low | Urobilinogen, Urine; Qualitative |
| 84580-CPT | Low | Urobilinogen,Urine;Quantitative,Timed Sp |
| 84583-CPT | Low | Urobilinogen,Urine;Semiquantitative |
| 84620-CPT | Low | Xylose Tolerance Test, Xylose Is A Simple Sugar That Is Produced As Carbohydrates Are Digested. The Test Evaluates How Well The Intestines Absorb Nutrients. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84583 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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