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See a sample rate comparisonHCPCS A9291 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.
Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Miscellaneous Supplies and Equipment |
| Complexity Level | Low |
National average reimbursement for HCPCS A9291 by major payers:
$73.27
$N/A
$49.42
$0.00
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HCPCS A9291
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See a sample payer proposalHCPCS A9291 vs. Other Miscellaneous Supplies and Equipment Codes
The HCPCS A9291 code is part of the Administrative, Miscellaneous and Investigational services used for Miscellaneous Supplies and Equipment. 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 A9291 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 |
|---|---|---|
| A9286-HCPCS | Low | Hygienic item or device, disposable or non-disposable, any type, each |
| A9291-HCPCS | Low | Prescription digital cognitive and/or behavioral therapy, fda cleared, per course of treatment |
| A9300-HCPCS | Low | Exercise equipment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9291. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9291 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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