CPT code 84702: hCG test, quantitative level2026 Medicare lab fee · Clinical Laboratory Fee Schedule
Quantitative human chorionic gonadotropin (hCG) testing measures hormone concentration, supporting early pregnancy assessment, serial monitoring, and evaluation of hCG-producing conditions.
Medicare pays $15.05 for 84702 under the 2026 Clinical Laboratory Fee Schedule: one national amount, the same in every state and setting.
Medicare lab fee · CLFS 2026 Q4
National CLFS amount
$15.05
In effect since Jan 1, 2026. The same amount in every state, payment locality and setting.
- Geographic adjustment
- None
- Office vs facility
- Same
- Since 2020
- Unchanged
- CMS updates
- Quarterly
Medicare pays the lesser of the lab’s charge and this amount. Patients usually owe no Part B deductible or coinsurance for covered clinical lab tests.
On this page 8 sections
What 84702 covers
This test measures the concentration of human chorionic gonadotropin (hCG), a reproductive hormone. Clinicians commonly order quantitative hCG testing to assess early pregnancy, follow changing levels over time, or evaluate conditions that produce hCG, including trophoblastic disease and some tumors. Hospital and independent laboratories perform the assay from a blood specimen; clinicians use the result alongside the patient’s clinical findings and other diagnostic information.
Report 84702 for a quantitative hCG assay, rather than a qualitative result or a measurement limited to free beta-chain hCG. Report the assay performed, not the magnitude of the result as multiple units. Medicare pays this test only through the CLFS. The 2026 national CLFS amount is $15.05, unchanged from 2020 through 2026; the same amount applies across localities and settings, with no geographic or office-versus-facility adjustment. The code is excluded from the physician fee schedule.
This summary was written with AI assistance from CMS Clinical Laboratory Fee Schedule data. Amounts on this page come directly from CMS files.
How Medicare pays 84702
Clinical lab tests aren’t priced like physician services. They’re paid from their own fee schedule, with its own rules. See the whole lab fee schedule.
One national amount
CMS sets a single Clinical Laboratory Fee Schedule amount for 84702. There’s no geographic (GPCI) adjustment, so it pays the same in every state and payment locality.
No office or facility rate
Lab tests aren’t built from relative value units, so there’s no office and facility split: the place of service doesn’t change the CLFS amount.
Updated every quarter
CMS republishes the CLFS each quarter. New tests, often proprietary laboratory analyses (PLA codes), join during the year; existing amounts are updated each January.
Excluded from the physician fee schedule
The physician fee schedule lists 84702 with status X (excluded by statute), so the test itself is paid only from the CLFS.
84702 on the lab fee schedule since 2020
84702 · CLFS 2026 Q4 (current)
$15.05
Unchanged since Jan 1, 2020
27 quarterly CLFS releases on file, first CLFS 2020 Q1. A code missing from a quarter wasn’t on that release.
84702 compared with similar tests
- 84703Pregnancy testQualitative hCG$7.52
- Use 84702 when the laboratory measures hCG concentration; use 84703 for a qualitative hCG result.
- 81025Urine pregnancy testVisual color method$8.61
- 81025 is for qualitative urine pregnancy testing. 84702 reports a quantitative hCG assay.
- 84704Free beta hCGFree beta chain$15.29
- 84704 is for free beta-chain hCG testing. 84702 reports quantitative hCG testing rather than that specific analyte.
84702 billing questions
How does 84702 differ from 84703?
84702 reports a quantitative hCG concentration. Use 84703 when the assay determines hCG qualitatively rather than measuring its concentration.
When would a urine pregnancy test be reported instead?
CPT 81025 describes a qualitative urine pregnancy test. Choose the code that matches the test performed; 84702 is for quantitative hCG testing.
How many units should be reported?
Report the assay performed as one test; the numeric hCG result does not determine the unit count.
How does 84702 differ from 84704?
84702 reports quantitative hCG testing. 84704 is for testing free beta-chain hCG.
Does Medicare pay different amounts by locality or setting?
No. The CLFS payment is one national amount for the code across localities, with no office-versus-facility difference.
Where this amount comes from
FeeBase reads lab amounts directly from the CMS Clinical Laboratory Fee Schedule file for the quarter: one row per code, with its payment indicator and national amount. Contractor-priced tests are labeled, never given a made-up amount. Amounts are Medicare payment limits, not a patient’s bill or a commercial rate.
CMS CLFS 2026 Q4 · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file line behind this amount
Fee sheets
Put 84702 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet