Revenue Code (RC) 0616 Fee Schedule
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.
Lower extremities
| Key Fact | Detail |
|---|---|
| Service Type | • Magnetic Resonance Technology (MRT) |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0616 by major payers:
$750.80
$1,457.87
$1,411.36
$1,562.15
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for RC 0616 | ||||||
United | 0616 | $1273.00 | 1306909734 - INDEPENDENT HEALTHCARE MANAGEMENT, INC., S E LACKEY MEMORIAL HOSPITAL | 640770155 - INDEPENDENT HEALTHCARE MANAGEMENT INC | MS | Critical Access Hospital (282NC0060X) |
United | 0616 | $1460.00 | 1376686600 - TRUMAN MEDICAL CENTER, INCORPORATED, UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | 440661018 - (MO) TRUMAN MEDICAL CENTER INCORPORATED | MO | General Acute Care Hospital (282N00000X) |
United | 0616 | $603.00 | 1134102080 - SOUTH BROWARD HOSPITAL DISTRICT, MEMORIAL HOSPITAL WEST | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | General Acute Care Hospital (282N00000X) |
United | 0616 | $1190.00 | 1972517365 - COVENANT MEDICAL CENTER | 822913146 - (TX) COVENANT MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | 0616 | $925.00 | 1346774270 - INDIANA UNIVERSITY HEALTH FRANKFORT INC | 815174295 - (IN) INDIANA UNIVERSITY HEALTH FRANKFORT INC | IN | Critical Access Hospital (282NC0060X) |
United | 0616 | $767.00 | 1861447179 - AURORA HEALTH CARE METRO, INC. | 390806181 - AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 0616 | $930.00 | 1053350462 - FORREST COUNTY GENERAL HOSPITAL, HIGHLAND COMMUNITY HOSPITAL | 646001587 - FORREST COUNTY GENERAL HOSPITAL | MS | General Acute Care Hospital (282N00000X) |
United | 0616 | $1801.00 | 1760580757 - VCU HEALTH TAPPAHANNOCK HOSPITAL | 541489410 - (VA) VCU HEALTH TAPPAHANNOCK HOSPITAL | VA | Rural Acute Care Hospital (282NR1301X) |
United | 0616 | $1190.00 | 1225289499 - LUBBOCK HERITAGE HOSPITAL, LLC., GRACE SURGICAL HOSPITAL | 264021016 - (TX) LUBBOCK HERITAGE HOSPITAL LLC | TX | General Acute Care Hospital (282N00000X) |
United | 0616 | $1323.00 | 1073568754 - MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES LLC, LAKE NORMAN REGIONAL MEDICAL CENTER | 592612221 - (NC) MOORESVILLE HOSPITAL MANAGEMENT ASSOCIATES, LLC | NC | General Acute Care Hospital (282N00000X) |
United | 0616 | $1719.00 | 1003201955 - MERCY HOSPITAL CARTHAGE | 453808607 - MERCY HOSPITAL CARTHAGE | MO | Critical Access Hospital (282NC0060X) |
United | 0616 | $2450.00 | 1629038336 - SENTARA HOSPITALS, SENTARA VIRGINIA BEACH GENERAL HOSPITAL | 541547408 - SENTARA HOSPITALS | VA | General Acute Care Hospital (282N00000X) |
United | 0616 | $1826.00 | 1417946021 - SAINT JOSEPH HOSPITAL, INC, SAINT JOSEPH HOSPITAL | 840417134 - (CO) SAINT JOSEPH HOSPITAL | CO | General Acute Care Hospital (282N00000X) |
United | 0616 | $1079.00 | 1649226952 - ANDERSON REGIONAL MEDICAL CENTER, ANDERSON REGIONAL MEDICAL CENTER | 640362400 - (MS) ANDERSON REGIONAL MEDICAL CENTER | MS | General Acute Care Hospital (282N00000X) |
United | 0616 | $900.00 | 1851642540 - HOUSTON COUNTY COMMUNITY HOSPITAL | 462490116 | TN | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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Revenue Code 0616 vs. Other Magnetic Resonance Technology (MRT) Codes
The Revenue Code 0616 code is part of the Magnetic Resonance Technology (MRT) 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 0616 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 0616. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0616 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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