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See a sample rate comparisonHCPCS C9354 Fee Schedule
Last Verified: October 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.
Acellular pericardial tissue matrix of non-human origin (Veritas), per square centimeter
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Miscellaneous Drugs, Biologicals, and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C9354 |
National average reimbursement for HCPCS C9354 by major payers:
$39.33
$29.99
$19.48
$19.58
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HCPCS C9354
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See a sample payer proposalHCPCS C9354 vs. Other Miscellaneous Drugs, Biologicals, and Supplies Codes
The HCPCS C9354 code is part of the Outpatient PPS services used for Miscellaneous Drugs, Biologicals, and 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 C9354 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 |
|---|---|---|
| C9353-HCPCS | Moderate | Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per centimeter length |
| C9354-HCPCS | Low | Acellular pericardial tissue matrix of non-human origin (Veritas), per square centimeter |
| C9355-HCPCS | Low | Collagen nerve cuff (NeuroMatrix), per 0.5 centimeter length |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9354. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9354 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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