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See a sample rate comparisonCPT 0101T Fee Schedule
Last Verified: October 2026
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.
Extracorporeal Shock Wave Involving Musculoskele- Tal System Not Otherwise Specified (Desc Rvsd 1/1/2022) (For Application Of Low Energy Musculoskeletal System Extracorporeal Shock Wave Use 0019t)
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Various Services - Category III Codes |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 0101T |
National average reimbursement for CPT 0101T by major payers:
$428.92
$441.30
$1,871.63
$436.23
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CPT 0101T
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center- Westbank
Ochsner Clinic Foundation
$16,288.00Published rateMemorial Hermann Specialty Hospital Kingwood L L C, Memorial Hermann Surgical Hospital Kingwood
Memorial Hermann Specialty Hospital Kingwood L L C
$8,031.00Published rateBrfhh Shreveport LLC, University Health Shreveport
$5,999.00Published rateDallas Medical Center LLC, Dallas Medical Center
Dallas Medical Center, LLC
$3,485.00Published rateMorehouse General Hospital
$159.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 0101T vs. Other Various Services - Category III Codes Codes
The CPT 0101T code is part of the Category III Codes services used for Various Services - Category III Codes. 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 0101T 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 |
|---|---|---|
| 0101T-CPT | Moderate | Extracorporeal Shock Wave Involving Musculoskele- Tal System Not Otherwise Specified (Desc Rvsd 1/1/2022) (For Application Of Low Energy Musculoskeletal System Extracorporeal Shock Wave Use 0019t) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 0101T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0101T 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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