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See a sample rate comparisonRevenue Code (RC) 0942 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.
Education/training
| Key Fact | Detail |
|---|---|
| Service Type | Other Therapeutic Services - See also 095X |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0942 by major payers:
$440.27
$204.79
$655.40
$192.00
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RC 0942
5 of 25 sample ratesHigher to lower in this preview
Public Health Trust Of Miami Dade County Florida, Jackson Memorial Perdue Medical Center
Public Health Trust Of Miami-Dade County Florida
$300.00Published rateColumbia Medical Center Of Plano Subsidiary Lp, Medical City Plano
$204.00Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital
Emerus Bhs Sa Thousand Oaks LLC
$150.00Published rateVhs San Antonio Partners, LLC, Northeast Baptist Hospital
$101.00Published rateHunt Memorial Hospital District, Hunt Regional
Hunt Memorial Hospital District
$64.00Published rate
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See a sample payer proposalRevenue Code 0942 vs. Other Other Therapeutic Services - See also 095X Codes
The Revenue Code 0942 code is part of the Other Therapeutic Services - See also 095X 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 0942 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 0942. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0942 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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