Negotiated reimbursement rates for D0484 across 2 states, sourced from CMS Transparency in Coverage data. 5 rate records.
D0484 is the code for Histopathology Consultation (Report), a procedure where a pathologist reviews tissue specimens and provides a detailed report on their findings. This service is often requested when a definitive diagnosis is needed, particularly in complex cases. Clinical indications for this consultation may include ambiguous histological findings or when a second opinion is required on a diagnosis. Documentation should include the clinical background, the reason for the consultation, and the pathologist's findings. The average reimbursement for D0484 is approximately $111, but this can differ based on the payor and state regulations. Some insurance companies may have specific guidelines regarding the necessity of consultations, impacting reimbursement rates.
Reimbursement rates for D0484 vary significantly by state, payor, and provider network. The national average negotiated rate is $111. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
-1+ more states available with Pro ↓
| State | Avg Rate |
|---|---|
| South Carolina | $143 |
| New York | $97 |
| State | Avg Rate |
|---|---|
| South Carolina | $143 |
| New York | $97 |