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See a sample rate comparisonCPT 84600 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.
Volatiles (Eg Acetic Anhydrid, Volatiles (Eg Acetic Anhydride Carbon Tetrachloridedichloroethane Dichloromethane Diethyletherisopropyl Alcohol Methanol)
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 90 - Reference Laboratory 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.11 national lab fee schedule rate (2026) · View Medicare rates for 84600 |
| Medicaid Fee Schedule | $16.74 median of the 8 states in the free preview · View Medicaid rates for 84600 |
National average reimbursement for CPT 84600 by major payers:
$14.69
$11.86
$18.97
$24.59
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CPT 84600
5 of 25 sample ratesHigher to lower in this preview
Resolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
$45.00Published rateHuntsville Community Hospital, Inc.
Huntsville Community Hospital Inc
$20.20Published rateLancaster Regional Hospital, Lp, Crescent Medical Center Lancaster
Lancaster Regional Hospital, Lp
$16.07Published rateEl Paso County Hospital District, University Medical Center Of El Paso
$9.67Published rateAaron Askew
The Orthopedic And Neurosurgical Center Of The Cascades
$7.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 84600 vs. Other Chemistry Procedures Codes
The CPT 84600 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 84600 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 |
|---|---|---|
| 84525-CPT | Low | Kidney Function Test, This Test Evaluates Either Blood Or Urine For Urea A Byproduct Of Protein Digestion. Blood Tests Evaluate How Well The Kidneys Filter Waste. Urine Tests Can Identify A Protein Deficiency. |
| 84545-CPT | Low | Kidney Function Test, This Test Evaluates Either Blood Or Urine For Urea A Byproduct Of Protein Digestion. Blood Tests Evaluate How Well The Kidneys Filter Waste. Urine Tests Can Identify A Protein Deficiency. |
| 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84600 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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