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See a sample rate comparisonHCPCS C9363 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.
Skin substitute, Integra Meshed Bilayer Wound Matrix, 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 C9363 |
National average reimbursement for HCPCS C9363 by major payers:
$45.48
$98.04
$80.11
$73.13
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HCPCS C9363
2 of 2 sample ratesHigher to lower in this preview
Concordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$24.79Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$24.79Published rate
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See a sample payer proposalHCPCS C9363 vs. Other Miscellaneous Drugs, Biologicals, and Supplies Codes
The HCPCS C9363 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 C9363 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 |
|---|---|---|
| C9362-HCPCS | Low | Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip), per 0.5 cc |
| C9363-HCPCS | Low | Skin substitute, Integra Meshed Bilayer Wound Matrix, per square centimeter |
| C9364-HCPCS | Low | Porcine implant, Permacol, per square centimeter |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9363. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9363 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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