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See a sample rate comparisonRevenue Code (RC) 0561 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.
Visit charge
| Key Fact | Detail |
|---|---|
| Service Type | Home Health Medical Social Services |
| Complexity Level | High |
National average reimbursement for Revenue Code 0561 by major payers:
$1,468.38
$134.56
$136.28
$163.87
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RC 0561
5 of 25 sample ratesHigher to lower in this preview
Saint Lukes Hospice Of Leavenworth LLC
$187.00Published rateLhcg Clvii, LLC, Mederi Caretenders
$145.94Published rateLhcg Lxxxii, LLC, Parrish Home Health
$145.94Published rateEtairos Health, Inc, Utopia Home Care
Etairos Health, Inc.
$120.00Published rateDesoto County Hospital District, Desoto Memorial Home Health
Desoto Memorial Hospital
$70.00Published rate
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See a sample payer proposalRevenue Code 0561 vs. Other Home Health Medical Social Services Codes
The Revenue Code 0561 code is part of the Home Health Medical Social 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 0561 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 0561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0561 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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