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See a sample rate comparisonRevenue Code (RC) 0859 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.
Other
| Key Fact | Detail |
|---|---|
| Service Type | Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home |
| Complexity Level | High |
National average reimbursement for Revenue Code 0859 by major payers:
$7,440.89
$561.94
$681.64
$1,137.74
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RC 0859
5 of 25 sample ratesHigher to lower in this preview
Kph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
$1,397.00Published rateResolute Hospital Company, LLC, Resolute Health Hospital
Resolute Hospital Company LLC
$611.00Published rateDecatur Health Services, LLC
$447.00Published rateSt Joseph Regional Health Center, St Joseph Ambulatory Surgery
St Joseph Regional Health Center
$244.00Published rateLancaster Regional Hospital, Lp, Crescent Medical Center Lancaster
Lancaster Regional Hospital, Lp
$161.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0859 vs. Other Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home Codes
The Revenue Code 0859 code is part of the Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home 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 0859 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 |
|---|---|---|
| 0858-RC | Moderate | Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home |
| 0859-RC | High | 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 0859. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0859 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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