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See a sample rate comparisonRevenue Code (RC) 0429 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.
Other
| Key Fact | Detail |
|---|---|
| Service Type | Physical Therapy |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0429 by major payers:
$429.13
$80.86
$224.74
$128.52
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RC 0429
5 of 25 sample ratesHigher to lower in this preview
St. Luke'S Community Health Services, St. Luke'S The Woodlands Hospital
St Lukes Community Health Services
$293.00Published rateResolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
$228.00Published rateWeatherford Health Services, LLC, Medical City Weatherford
Weatherford Health Services LLC
$168.00Published rateCapital Health System Inc, Regional Medical Center
Capital Health System Inc
$109.00Published rateWest Carroll Health Systems LLC, West Carroll Memorial Hospital
West Carroll Health Systems L.L.C.
$70.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0429 vs. Other Physical Therapy Codes
The Revenue Code 0429 code is part of the Physical Therapy 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 0429 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 |
|---|---|---|
| 0428-RC | Low | Physical Therapy |
| 0429-RC | Moderate | Other |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0429. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0429 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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