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See a sample rate comparisonRevenue Code (RC) 0274 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Prosthetic/orthotic devices
| Key Fact | Detail |
|---|---|
| Service Type | Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) |
| Complexity Level | High |
National average reimbursement for Revenue Code 0274 by major payers:
$1,294.92
$3,738.20
$N/A
$4,419.95
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RC 0274
5 of 25 sample ratesHigher to lower in this preview
Texas Health Presbyterian Hospital Plano
Mother Frances Hospital-Winnsboro
$5,997.00Published rateState Of New York Comptrollers Office, Helen Hayes Hospital
State Of Ny Unified Court System
$5,000.00Published rateWebster Surgical Specialty Hospital, LLC, Houston Physicians' Hospital
Webster Surgical Specialty Hospital LLC
$5,000.00Published rateSherman Grayson Hospital LLC, Wilson N. Jones Regional Medical Center - Bhs
$2,228.00Published rateBt East Dallas Jv, LLP, Baylor Scott And White Medical Center White Rock
Pipeline East Dallas, LLC
$945.00Published rate
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See a sample payer proposalRevenue Code 0274 vs. Other Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) Codes
The Revenue Code 0274 code is part of the Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) services . 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 Revenue Code 0274 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0274. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0274 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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