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See a sample rate comparisonRevenue Code (RC) 0943 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.
Cardiac rehabilitation
| Key Fact | Detail |
|---|---|
| Service Type | Other Therapeutic Services - See also 095X |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0943 by major payers:
$440.65
$327.42
$306.66
$309.71
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RC 0943
5 of 25 sample ratesHigher to lower in this preview
Northwest Texas Healthcare System, Inc, Women'S And Children'S Healthcare Center
$1,228.00Published rateWeatherford Health Services, LLC, Medical City Weatherford
Weatherford Health Services LLC
$263.00Published ratePublic Health Trust Of Miami Dade County Florida, Jackson Memorial Perdue Medical Center
Public Health Trust Of Miami-Dade County Florida
$180.00Published rateDecatur Health Services, LLC
$135.00Published rateVhs Harlingen Hospital Company, LLC, Valley Baptist Micro-Hospital Weslaco
$63.00Published rate
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See a sample payer proposalRevenue Code 0943 vs. Other Other Therapeutic Services - See also 095X Codes
The Revenue Code 0943 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 0943 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 0943. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0943 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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