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Revenue Code (RC) 0860 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.

General

Key FactDetail
Service Type

Magnetoencephalography

Complexity LevelModerate

National average reimbursement for Revenue Code 0860 by major payers:

bcbs

$473.74

uhc

$1,574.96

aetna

$472.50

cigna

$1,395.33

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RC 0860
5 of 25 sample ratesHigher to lower in this preview
  1. Lancaster Regional Hospital, Lp, Crescent Medical Center Lancaster

    Lancaster Regional Hospital, Lp

    TXGeneral Acute Care HospitalNPI 1851632616Tax ID 27-3815440

    $3,400.00Published rate
  2. Somervell County Hospital District, Glen Rose Medical Center

    Somervell County Hospital District

    TXRural Acute Care HospitalNPI 1700826575Tax ID 46-3085950

    $1,987.00Published rate
  3. Th Healthcare, Ltd, Nacogdoches Medical Center

    TXGeneral Acute Care HospitalNPI 1700885076Tax ID 76-0354630

    $948.00Published rate
  4. Tenet Hospitals Limited, The Hospitals Of Providence Memorial Campus

    TXGeneral Acute Care HospitalNPI 1700801909Tax ID 95-4537720

    $526.00Published rate
  5. Starr County Hospital District, Starr County Memorial Hospital

    TXRural Acute Care HospitalNPI 1760567085Tax ID 74-1794256

    $300.00Published rate

National sample. Rates vary by location, specialty, and contract.

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Revenue Code 0860 vs. Other Magnetoencephalography Codes

The Revenue Code 0860 code is part of the Magnetoencephalography 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 0860 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.

CodeComplexityDescription
0860-RCModerateGeneral
0861-RCModerateMEG

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0860. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0860 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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