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See a sample rate comparisonRevenue Code (RC) 0342 Fee Schedule
Last Verified: September 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.
Therapeutic
| Key Fact | Detail |
|---|---|
| Service Type | Nuclear Medicine |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0342 by major payers:
$545.95
$1,227.26
$730.79
$2,705.72
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RC 0342
5 of 25 sample ratesHigher to lower in this preview
Princeton Healthcare System, A New Jersey Non-Profit Corporation
Princeton Healthcare System A New Jersey Non-Profit Corp
$3,787.00Published rateSt. Luke'S Community Health Services, St. Luke'S The Woodlands Hospital
St Lukes Community Health Services
$1,723.00Published rateLubbock Heritage Hospital, LLC., Grace Surgical Hospital
Lubbock Heritage Hospital LLC
$893.00Published rateDeaf Smith County Hospital District, Hereford Regional Medical Center
$634.00Published rateNocona Hospital District, Nocona General Hospital
$163.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0342 vs. Other Nuclear Medicine Codes
The Revenue Code 0342 code is part of the Nuclear Medicine 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 0342 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 0342. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0342 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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