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See a sample rate comparisonHCPCS A4641 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.
Radiopharmaceutical, diagnostic, not otherwise classified
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Diagnostic Radiopharmaceuticals |
| Complexity Level | Moderate |
National average reimbursement for HCPCS A4641 by major payers:
$514.87
$68.19
$162.30
$60.72
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HCPCS A4641
4 of 4 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Forsyth
Northside Hospital Inc
$75.00Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$75.00Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$75.00Published rateNorthside Hospital, Inc., Northside Hospital Forsyth
Northside Hospital Inc
$75.00Published rate
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See a sample payer proposalHCPCS A4641 vs. Other Diagnostic Radiopharmaceuticals Codes
The HCPCS A4641 code is part of the Medical And Surgical Supplies services used for Diagnostic Radiopharmaceuticals. 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 A4641 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 |
|---|---|---|
| A4640-HCPCS | Low | Replacement pad for use with medically necessary alternating pressure pad owned by patient |
| A4641-HCPCS | Moderate | Radiopharmaceutical, diagnostic, not otherwise classified |
| A4642-HCPCS | Moderate | Indium In-111 satumomab pendetide, diagnostic, per study dose, up to 6 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4641 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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