HCPCS A6234 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 • Hydrocolloid Dressings |
| Complexity Level | Low |
National average reimbursement for HCPCS A6234 by major payers:
$7.43
$4.87
$6.20
$10.67
| 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 A6234 | ||||||
United | A6234 | $3.03 | 1285625996 - SLOCUM DICKSON MEDICAL GROUP PLLC | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Clinic/Center (261Q00000X) |
United | A6234 | $3.03 | 1013177450 - MICHAEL MCNULTY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Pain Medicine Physician (208VP0000X) |
United | A6234 | $3.03 | 1578874459 - ELAINE TSUKAYAMA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Pediatrics Physician (208000000X) |
United | A6234 | $5.65 | 1982043386 - AILEEN CALLAN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | A6234 | $3.03 | 1093949711 - HEIDI ROLOSON | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Surgical Physician Assistant (363AS0400X) |
United | A6234 | $3.03 | 1194781658 - NANCY SHAHEEN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | A6234 | $3.03 | 1871748020 - ELIZABETH COOLEY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Medicine Physician (207Q00000X) |
United | A6234 | $3.03 | 1700873858 - BONNIE CASANOVA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | A6234 | $3.03 | 1578874459 - ELAINE TSUKAYAMA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Pediatrics Physician (208000000X) |
United | A6234 | $3.03 | 1295115129 - AIDA DURMISEVIC | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | A6234 | $5.65 | 1194716605 - SHANNON SULLIVAN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physical Therapist (225100000X) |
United | A6234 | $5.65 | 1972938900 - JEFFREY KWASNIEWSKI | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | A6234 | $5.65 | 1518955756 - ANTHONY SBIROLI | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | A6234 | $3.03 | 1124461066 - ROXANE HANDAL-OREFICE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Obstetrics & Gynecology Physician (207V00000X) |
United | A6234 | $3.03 | 1356339592 - WADE HUNT | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Medicine Physician (207Q00000X) |
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 A6234 vs. Other Hydrocolloid Dressings Codes
The HCPCS A6234 code is part of the Medical And Surgical Supplies services used for Hydrocolloid 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 A6234 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 |
|---|---|---|
| A6233-HCPCS | Low | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing |
| A6234-HCPCS | Low | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
| A6235-HCPCS | Low | Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without 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 A6234. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6234 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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