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See a sample rate comparisonHCPCS A4559 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.
Coupling gel or paste, for use with ultrasound device, per oz
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4559 |
National average reimbursement for HCPCS A4559 by major payers:
$0.14
$0.08
$0.20
$0.21
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HCPCS A4559
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.24Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Physician Group Inc
$0.11Published rateLower Oconee Community Hospital Inc
$0.07Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$0.07Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$0.05Published rate
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See a sample payer proposalHCPCS A4559 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The HCPCS A4559 code is part of the Medical And Surgical Supplies services used for Various Medical Supplies Including Tapes and Surgical Dressings. 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 HCPCS A4559 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 |
|---|---|---|
| A4558-HCPCS | Low | Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz |
| A4559-HCPCS | Low | Coupling gel or paste, for use with ultrasound device, per oz |
| A4560-HCPCS | Low | Neuromuscular electrical stimulator (nmes), disposable, replacement only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4559. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4559 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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