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See a sample rate comparisonHCPCS A4636 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.
Replacement, handgrip, cane, crutch, or walker, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Replacement Parts |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4636 |
National average reimbursement for HCPCS A4636 by major payers:
$2.57
$2.52
$2.58
$4.47
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HCPCS A4636
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$7.61Published rateVictoria Lewis-Holland
$3.75Published rateHospital Authority Of Mitchell County, Mitchell County Hospital
Hospital Authority Of Mitchell County
$2.32Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$1.96Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$0.23Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4636 vs. Other Replacement Parts Codes
The HCPCS A4636 code is part of the Medical And Surgical Supplies services used for Replacement Parts. 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 A4636 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 |
|---|---|---|
| A4635-HCPCS | Low | Underarm pad, crutch, replacement, each |
| A4636-HCPCS | Low | Replacement, handgrip, cane, crutch, or walker, each |
| A4637-HCPCS | Low | Replacement, tip, cane, crutch, walker, each. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4636. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4636 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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