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See a sample rate comparisonCPT 84585 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.
Stress Hormone Urine Test, The Test Is Done To Diagnose Adrenal Gland And Nerve Tumors By Measuring The Amounts Of Adrenalin Byproducts In Urine.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 22 - On Campus Outpatient Hospital |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $15.50 national lab fee schedule rate (2026) · View Medicare rates for 84585 |
| Medicaid Fee Schedule | $15.305 median of the 8 states in the free preview · View Medicaid rates for 84585 |
National average reimbursement for CPT 84585 by major payers:
$13.59
$10.92
$17.12
$22.69
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CPT 84585
5 of 25 sample ratesHigher to lower in this preview
Da Pediatric Rehabilitation
$55.00Published rateChristopher Raio
St Joseph Hospital
$20.46Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$15.50Published ratePrisma Health-Upstate, Prisma Health Op Surgery Spartanburg
Prisma Health - Upstate
$13.94Published rateBrittany Ptachick
Hroa 401k Plan
$6.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84585 vs. Other Chemistry Procedures Codes
The CPT 84585 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 84585 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 |
|---|---|---|
| 84560-CPT | Low | Uric Acid Test, This Test Evaluates Either Blood Or Urine For Uric Acid. The Blood Test Detects How Well The Kidneys Filter Uric Acid. The Urine Test Measures Excess Uric Acid That May Be Forming Crystals As Kidney Stones Or Gout Deposits. |
| 84585-CPT | Low | Stress Hormone Urine Test, The Test Is Done To Diagnose Adrenal Gland And Nerve Tumors By Measuring The Amounts Of Adrenalin Byproducts In Urine. |
| 84600-CPT | Low | Volatiles (Eg Acetic Anhydrid, Volatiles (Eg Acetic Anhydride Carbon Tetrachloridedichloroethane Dichloromethane Diethyletherisopropyl Alcohol Methanol) |
| 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 84585. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84585 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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