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84702 Chorionic gonadotropin test

What 84702 is

CMS fee schedule short descriptor: Chorionic gonadotropin test.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 84702 (CY2026)

This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

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Medically Unlikely Edit (MUE)

Medicare caps 84702 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Analyte. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 84702? These codes are bundled into it

84702 is a Column 1 code in 5 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
80503Path clin consltj sf 5-201 - modifier may bypassCheck pair
80504Path clin consltj mod 21-401 - modifier may bypassCheck pair
80505Path clin consltj high 41-601 - modifier may bypassCheck pair
80506Path clin consltj prolng svc1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

84702 is bundled into these codes

84702 appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 84702 is the code that denies.

Column 1 codeShort descriptionModifier indicator
81508Ftl cgen abnor two proteins0Check pair
81509Ftl cgen abnor 3 proteins0Check pair
81510Ftl cgen abnor three anal0Check pair
81511Ftl cgen abnor four anal0Check pair
81512Ftl cgen abnor five anal0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.