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See a sample rate comparisonRevenue Code (RC) 0919 Fee Schedule
Last Verified: October 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.
Behavioral health treatments
| Key Fact | Detail |
|---|---|
| Service Type | Behavioral Health Treatments/Services - Extension of 090X |
| Complexity Level | High |
| Related Procedure Codes |
National average reimbursement for Revenue Code 0919 by major payers:
$2,521.07
$392.93
$186.68
$750.00
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RC 0919
5 of 25 sample ratesHigher to lower in this preview
Umass Memorial Medical Center, Inc.
Umass Memorial Health Care Inc
$932.00Published rateUmass Memorial Medical Center, Inc.
Umass Memorial Health Care Inc
$887.00Published rateNewton-Wellesley Hospital, Newton Wellesley Hospital
Newtonwellesley Hospital
$730.00Published rateMelrosewakefield Healthcare, Inc.
Melrosewakefield Healthcare Inc
$695.28Published rateHarris County Hospital District, Harris Health
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0919 vs. Other Behavioral Health Treatments/Services - Extension of 090X Codes
The Revenue Code 0919 code is part of the Behavioral Health Treatments/Services - Extension of 090X 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 0919 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 |
|---|---|---|
| 0918-RC | High | Testing |
| 0919-RC | High | Behavioral health treatments |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0919. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0919 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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