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Sex Hormone Binding Globulin Blood Test

CPT 84270

Ordered alongside testosterone testing when the total hormone level does not fit the patient's symptoms.

No national payment amount

Status X is not separately payable under the PFS.

Did Medicare pay separately for CPT 84270 in Q4 2022? Copy link

Not at a published national rate. CPT 84270 carries status X (statutory exclusion) in the Q4 2022 release. The statutory definition of physician services does not include this item. Treat the blank amount as unpriced, not as $0.

Source: Physician relative value file (Q4 2022) · effective October 2022 · materially updated Aug 4, 2026 · compact facts

Can you bill it with another code? Copy link

Enter a second CPT or HCPCS code billed the same date of service to check the current NCCI procedure-to-procedure edit between it and 84270.

See every current NCCI pair for 84270 →

How often 84270 is billed Copy link

Across Original Medicare in CY2024, 84270 ranked #523 of the 7,879 CPT codes billed to Medicare that year, ranked by patients served or total allowed dollars.

Beneficiaries
223,282
Office + facility patients combined
Services
314,114
Times it was billed
Allowed
$6.7M
Total Medicare allowed dollars
Compare: ↑ #522 more popular · 78814 ↓ #524 less popular · 75574

2024 Medicare fee-for-service only, national totals — Medicare Advantage, Medicaid and commercial volume are excluded, so real-world use runs higher. This is a calendar-year snapshot from the CMS Physician & Other Practitioners dataset, on a different cycle from the Q4 2022 fee schedule the rates above come from.

Common questions Copy link

Why is there no payment amount for 84270?

Its status indicator is X (statutory exclusion). The statutory definition of physician services does not include this item. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.

Why would a Medicare claim for 84270 be denied or paid less?

Each item below comes from a CMS indicator on this page — not general billing advice.

  • Its status indicator is X (statutory exclusion) — The statutory definition of physician services does not include this item. See status indicators

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Saw this code on your bill? Copy link

For patients
What does CPT code 84270 mean?

CPT code 84270: Sex Hormone Binding Globulin Blood Test. A common example is a man whose total testosterone comes back in the normal range but who still has clear low-testosterone symptoms. This test helps explain the mismatch - if the carrier protein is unusually high, most of that testosterone is bound up and unavailable, even though the headline number looks fine.

Computation & policy

How this amount is computed Copy link

amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.

Release Q4 2022
Component RVU
Work RVU blank
Practice expense RVU (non-facility) blank
Practice expense RVU (facility) blank
Malpractice RVU blank

Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.

History & related

Rate history by release Copy link

National non-facility amount for 84270 across quarterly releases.

Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 – present X — —
Q2 2026 Mar 10, 2026 – Jun 29, 2026 X — —
Q1 2026 Dec 29, 2025 – Mar 9, 2026 X — —

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Source & method

Show sources

This is computed from CMS's Medicare Physician Fee Schedule Q4 2022 release (schedule pfs, effective October 2022). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.

Description written from primary sources: CMS Medicare Physician Fee Schedule Relative Value Files. Not derived from AMA CPT descriptor text.

Physician relative value file (Q4 2022) · rvu22d.zip (PPRRVU22_OCT.csv row 15,043)

Conversion factor $34.6062 read from the same file, row 11, column 25.

Use the (i) buttons next to each amount above for the exact row, columns, and math.

Cite this rate

This link keeps pointing at the Q4 2022 figures, even after a newer release lands.

CPT 84270 Medicare Physician Fee Schedule rate (Q4 2022). Localis. https://localishealth.com/cpt/84270/2022/D