HCPCS A6203 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medical And Surgical Supplies • Miscellaneous Dressing and Wound Supplies |
| Complexity Level | Low |
National average reimbursement for HCPCS A6203 by major payers:
$3.84
$2.51
$3.07
$5.55
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A6203 | ||||||
United | A6203 | $2.34 | 1518306497 - EDISON VALLE-GILER | 331075317 - NCHMD INC | FL | Neurological Surgery Physician (207T00000X) |
United | A6203 | $2.34 | 1699127142 - CARL SPEER | 854076441 - (FL) EMERALD COAST FOOT AND ANKLE CENTER PLLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | A6203 | $2.42 | 1437378080 - RACHANA TYAGI | 264709927 - WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES, P.C | FL | Neurological Surgery Physician (207T00000X) |
United | A6203 | $2.25 | 1003878877 - WESLEY FAUNCE | 590714812 - LEE MEMORIAL HEALTH SYSTEM | FL | Neurological Surgery Physician (207T00000X) |
United | A6203 | $2.99 | 1003173477 - NEIL HARANHALLI | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Neurological Surgery Physician (207T00000X) |
United | A6203 | $2.28 | 1861559163 - JULIE PILITSIS | 650385507 - (FL) FLORIDA ATLANTIC UNIVERSITY | FL | Neurological Surgery Physician (207T00000X) |
United | A6203 | $2.34 | 1962810846 - ADNAN ZUBAIR | 822410133 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | A6203 | $2.34 | 1609139336 - RICHARD HOWELL | 592929608 - (FL) MUSCULOSKELETAL INSTITUTE INC. FLORIDA ORTHOPAEDIC INSTITUTE | PA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | A6203 | $1.99 | 1578947172 - KATHRYN METCALF | 721561132 | AZ | Orthopaedic Trauma Physician (207XX0801X) |
United | A6203 | $2.28 | 1639172844 - MICHAEL LALIBERTE | 1639172844 - (FL) MICHAEL LALIBERTE | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | A6203 | $2.29 | 1184601304 - FEDERICO VINAS | 590973502 - MEMORIAL HEALTH SYSTEMS INC | FL | Neurological Surgery Physician (207T00000X) |
United | A6203 | $2.34 | 1528023314 - EROL YOLDAS | 208032857 - (FL) ORTHO FLORIDA, LLC | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | A6203 | $2.10 | 1790728913 - BRETT SCHLIFKA | 204595671 - (FL) PALM BEACH NEUROSURGERY, LLC | FL | Neurological Surgery Physician (207T00000X) |
United | A6203 | $1.33 | 1487018800 - LAUREN PELUCACCI | 830572730 - (NC) GOODEN MOBILE POD NC PLLC | FL | Podiatrist (213E00000X) |
United | A6203 | $15.84 | 1093995136 - ADIB ABLA | 943281657 | FL | Neurological Surgery Physician (207T00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS A6203 vs. Other Miscellaneous Dressing and Wound Supplies Codes
The HCPCS A6203 code is part of the Medical And Surgical Supplies services used for Miscellaneous Dressing and Wound Supplies. 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 A6203 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 |
|---|---|---|
| A6199-HCPCS | Low | Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
| A6203-HCPCS | Low | Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6204-HCPCS | Low | Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6203. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6203 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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