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See a sample rate comparisonRevenue Code (RC) 0412 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.
Inhalation services
| Key Fact | Detail |
|---|---|
| Service Type | Respiratory Services |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0412 by major payers:
$471.73
$268.02
$126.00
$191.36
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RC 0412
5 of 25 sample ratesHigher to lower in this preview
St Lukes Community Development Corporation, St Lukes Sugar Land Hospital
St Lukes Community Development Corporation
$978.00Published rateColumbia Medical Center Of Las Colinas Inc, Medical City Las Colinas
Columbia Medical Center Of Las Colinas Inc
$370.00Published rateHcn Ep Horizon City, LLC, The Hospitals Of Providence Emergency Room Montwood
Hcn Ep Horizon City LLC
$290.00Published rateOrthopedic Hospital Ltd, Texas Orthopedic Hospital
Orthopedic Hospital Ltd
$247.00Published rateKell West Regional Hospital LLC
Kell West Regional Hospital, LLC
$70.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0412 vs. Other Respiratory Services Codes
The Revenue Code 0412 code is part of the Respiratory Services 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 0412 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 0412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0412 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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