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See a sample rate comparisonCPT 99510 Fee Schedule
Last Verified: October 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.
Home Visit For Counseling, Home Visit For Behavioral Health Counseling Including Individual Family Or Marriage Counseling.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Home Health Procedures and Services |
| Common Place of Service | 99 - Other POS 11 - Office |
| Common Modifiers | HO 95 - Telemedicine - audio and video |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 99510 |
National average reimbursement for CPT 99510 by major payers:
$67.79
$70.00
$81.78
$98.49
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CPT 99510
5 of 25 sample ratesHigher to lower in this preview
Deepak Kapoor
Alexian Brothers Center For Mental Health
$178.97Published rateBrian Hesler
Munson Medical Center
$105.00Published rateAnita Pairitz
The Monroe Clinic Inc
$72.09Published rateKaren Severson
$70.00Published rateDa Pediatric Rehabilitation
$35.00Published rate
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See a sample payer proposalCPT 99510 vs. Other Home Health Procedures and Services Codes
The CPT 99510 code is part of the Medicine Services and Procedures services used for Home Health Procedures and 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 CPT 99510 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 |
|---|---|---|
| 99510-CPT | Low | Home Visit For Counseling, Home Visit For Behavioral Health Counseling Including Individual Family Or Marriage Counseling. |
| 99600-CPT | Moderate | Home Visit Service, A Visit Or Treatment In The Home By A Health Care Professional. |
| 99601-CPT | Low | Home Infus/Specialty Drug Administr Per Visit (Up To 2 Hrs), Home Infusion/Specialty Drug Administration Per Visit (Up To 2 Hours) |
| 99605-CPT | Low | Medication Therapy Management, Medication Therapy Management Service(S) Provided By A Pharmacist Individual Face-To-Face With Patient With Assessment And Intervention If Provided Initial 15 Minutes New Patient |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 99510 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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