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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Complexity Level | Moderate |
| Related HCPCS Codes | • J0612 - Injection, calcium gluconate, not otherwise specified, 10 mg |
National average reimbursement for NDC 80830-1672-02 by major payers:

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See a sample payer proposalNDC 80830-1672-02 vs. Other Codes
The NDC 80830-1672-02 code is part of the null 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 NDC 80830-1672-02 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 |
|---|---|---|
| 80830-1672-02-NDC | Moderate | CALCIUM GLUCONATE (SDV,PF,LATEX-FREE) 100 MG/1 ML |
| J0612-HCPCS | Low | Injection, calcium gluconate, not otherwise specified, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including NDC 80830-1672-02. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80830-1672-02 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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