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See a sample rate comparisonHealthcare 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 | Pathology and Laboratory Procedures Microbiology Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service 90 - Reference Laboratory |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 87484 |
| Medicaid Fee Schedule | View Medicaid rates for 87484 |
National average reimbursement for CPT 87484 by major payers:

$31.94

$21.44

$36.69

$87.07
Choose a payer to see a sample of rates for CPT 87484.
Neuroscience Group Of Northeast Wisconsin, S.C.
Neuroscience Group Of Northeast Wisconsin, S.C.
Neuroscience Group Of Northeast Wisconsin, S.C.
Neuroscience Group Of Northeast Wisconsin, S.C.
Neuroscience Group Of Northeast Wisconsin, S.C.
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 87484 vs. Other Microbiology Procedures Codes
The CPT 87484 code is part of the Pathology and Laboratory Procedures services used for Microbiology 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 87484 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 |
|---|---|---|
| 87484-CPT | Low | Test For Parasitic Infection, This Is A Test For Confirming Infection With Ehrlichia Chaffeensis A Parasitic Infection Commonly Transmitted Through Ticks. |
| 87485-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Chlamydia Pneumoniae Direct Probe Technique Infectious Agent Detection By Nucleic Acid (Dna Or Rna) |
| 87486-CPT | Low | Infect Agnt Detect By Nucleic Acid (Dna Or Rna); Chlamydia Pne, Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Chlamydia Pne |
| 87487-CPT | Low | Infectious Agent Detection By, Infectious Agent Detection By Nucleic Acid (Dna Orrna)Chlamydia Pneumoniae Quantification Infect Ious Agent Detection By Nucleic Acid (Dna Or Rna) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 87484. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 87484 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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