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See a sample rate comparisonHCPCS C9356 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.
Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), 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 C9356 |
National average reimbursement for HCPCS C9356 by major payers:
$126.88
$145.86
$141.81
$109.25
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HCPCS C9356
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See a sample payer proposalHCPCS C9356 vs. Other Miscellaneous Drugs, Biologicals, and Supplies Codes
The HCPCS C9356 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 C9356 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 |
|---|---|---|
| C9355-HCPCS | Low | Collagen nerve cuff (NeuroMatrix), per 0.5 centimeter length |
| C9356-HCPCS | Low | Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet), per square centimeter |
| C9358-HCPCS | Low | Dermal substitute, native, non-denatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9356. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9356 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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