CPT 99184 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 | • Medicine Services and Procedures • Other Medicine Services and Procedures |
| Common Place of Service | • 21 - Inpatient Hospital • 23 - Emergency Room |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 25 - Significant, separately identifiable E/M service same day |
| Complexity Level | Moderate |
National average reimbursement for CPT 99184 by major payers:
$305.29
$292.65
$295.03
$359.93
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99184 | ||||||
United | 99184 | $281.66 | 1932495256 - ANGELICA NUNEZ | 746000756 - (TX) EL PASO COUNTY HOSPITAL DISTRICT | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $269.64 | 1730164328 - DEENA SOLOMON | 237100550 - (MA) HARBOR HEALTH SERVICES INC | MA | Pediatrics Physician (208000000X) |
United | 99184 | $311.19 | 1720051717 - UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO, UT HEALTH PHYSICIANS | 741586031 | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $182.75 | 1154308989 - PAUL PROFFITT | 742931564 - (TX) TEXAS NEURODIAGNOSTIC ASSOCIATES INC | TX | Neurology Physician (2084N0400X) |
United | 99184 | $301.54 | 1316919020 - YUHOE DICE | 752616977 - CHRISTUS TRINITY CLINIC | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $295.77 | 1356628812 - UKANA BASSEY | 271371893 | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $182.75 | 1407877046 - LUIS ARANGO | 742275163 - (TX) LUIS F. ARANGO, M.D., F.C.C.P., P.A . | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $228.44 | 1396155966 - PAUL ZITO | 383983999 | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $147.72 | 1730921040 - INTERNAL HEALING AND WELLNESS MD PLLC | 843166052 | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $418.92 | 1003205683 - SAIF ALTAIE | 900730395 | TX | Internal Medicine Physician (207R00000X) |
United | 99184 | $736.57 | 1558380717 - SUZANNE DAMIANI | 43236175 - MASS GENERAL BRIGHAM INCORPORATED | MA | Pediatrics Physician (208000000X) |
United | 99184 | $561.15 | 1376672311 - ROBERT SEGE | 43148394 - (MA) TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC | MA | Pediatrics Physician (208000000X) |
United | 99184 | $788.79 | 1144574955 - DIANE BELDER-PRESTON | 42807148 - MASS GENERAL BRIGHAM INCORPORATED | MA | Pediatrics Physician (208000000X) |
United | 99184 | $788.79 | 1073780839 - BRETT NELSON | 264349357 - (MA) MASS GENERAL BRIGHAM INCORPORATED | MA | Pediatrics Physician (208000000X) |
United | 99184 | $429.64 | 1679503551 - JULIA FEUDO | 880690251 - (MA) IAN A HARDING MD PC | MA | Pediatrics Physician (208000000X) |
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 99184 vs. Other Other Medicine Services and Procedures Codes
The CPT 99184 code is part of the Medicine Services and Procedures services used for Other Medicine Services and 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 99184 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 |
|---|---|---|
| 99075 | Low | Medical Testimony |
| 99183 | Low | Physician Or Other Qualified Health Care Professional Attendance And Supervision Of Hyperbaric Oxygen Therapy Per Session (Revised 01/01/13) |
| 99184 | Moderate | Initiation Of Selective Head Or Total Body Hypothermia In The Critically Ill Neonate Includes Appropriate Patient Selection By Review Of Clinical Imaging And Laboratory Data Confirmation Of Esophageal Temperature Probe Location Evaluation Of Amplitude Eeg Supervisionof Controlled Hypothermia And Assessment Of Patient Tolerance Of Cooling |
| 99188 | Low | Application Of Topical Fluoride Varnish By A Physician Or Other Qualified Health Care Professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99184. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99184 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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