CPT 84702 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | Chemistry Procedures Pathology and Laboratory Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 84702 |
National average reimbursement for CPT 84702 by major payers:
$12.68
$13.29
$18.45
$21.93
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 84702 | $15.05 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 84702 | $33.11 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 84702 | $17.14 | 1487795720 - AMANDA MCPHERSON | 475419443 | GA | Obstetrics & Gynecology Physician (207V00000X) |
United | 84702 | $17.84 | 1215035407 - RITA SHARMA | 550884715 - (GA) ATLANTA GYN CENTER | GA | Gynecology Physician (207VG0400X) |
United | 84702 | $15.05 | 1497944565 - MICHAEL SHULER | 581076549 - ATHENS ORTHOPEDIC CLINIC, PA | GA | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | 84702 | $6.76 | 1972125938 - NEW DAY WOMENS HEALTHCARE LLC | 823568548 - (FL) NEW DAY WOMENS HEALTHCARE LLC | FL | Obstetrics & Gynecology Physician (207V00000X) |
United | 84702 | $15.05 | 1861650780 - CHILDRENS NATIONAL MEDICAL CENTER | 530196580 - CHILDRENS HOSPITAL | DC | Children's Hospital (282NC2000X) |
United | 84702 | $13.55 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 84702 | $73.45 | 1093841132 - KALINDA WOODS | 581537752 - EMORY UNIVERSITY | MA | Obstetrics & Gynecology Physician (207V00000X) |
United | 84702 | $6.76 | 1760543664 - MICHAEL GUARNACCIA | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | Reproductive Endocrinology Physician (207VE0102X) |
United | 84702 | $25.37 | 1033117007 - BAYCARE HOME CARE, INC. | 593582520 - (FL) BAYCARE HOME CARE INC | FL | Home Health Agency (251E00000X) |
United | 84702 | $9.03 | 1053866707 - BRITTANY PTACHICK | 541958039 - HROA 401K PLAN | VA | Family Nurse Practitioner (363LF0000X) |
United | 84702 | $12.61 | 1447317110 - BAPTIST HEALTH CARE, INC., BAPTIST HOME HEALT CARE AND MEDICAL EQUIPMENT | 590657322 - BAPTIST HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
United | 84702 | $9.03 | 1053866707 - BRITTANY PTACHICK | 541958039 - HROA 401K PLAN | VA | Family Nurse Practitioner (363LF0000X) |
United | 84702 | $13.55 | 1255478004 - CHRISTOPHER RAIO | 111635088 - MERCY MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 84702 vs. Other Pathology and Laboratory Procedures Codes
The CPT 84702 code is part of the Chemistry Procedures services used for Pathology and Laboratory 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 84702 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 |
|---|---|---|
| 84510-CPT | Low | Tyrosine Testing, Tyrosine Testing Helps To Identify A Number Of Conditions Associated With Hormones And The Glands That Use Them. Tyrosine Is Involved With The Stress Response As Well As Regulation Of Blood Pressure And Body Temperature. |
| 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. |
| 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. |
| 84703-CPT | Low | Test To Measure Hcg, This Test Measures The Presence Or Absence Of Human Chorionic Gonadotropin (Hcg). This Test Is Generally Used To Determine Pregnancy. Other Rare Uses May Include Testing For Certain Cancers That Arise From The Placenta Or Some Testicular Cancers. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 84702. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 84702 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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