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See a sample rate comparisonHCPCS C9738 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.
Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Other Therapeutic Services and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C9738 |
National average reimbursement for HCPCS C9738 by major payers:
$92.58
$N/A
$300.78
$95.47
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HCPCS C9738
5 of 25 sample ratesHigher to lower in this preview
East Georgia Regional Medical Center, LLC, East Georgia Regional Medical Center LLC
East Georgia Regional Medical Center LLC
$3,151.00Published ratePiedmont Henry Hospital, Inc.
Piedmont Henry Hospital Inc
$1,737.00Published rateBaton Rouge General Medical Center
$1,072.00Published rateSurgical Specialty Center Of Baton Rouge, LLC, Surgical Specialty Center Of Baton Rouge
Surgical Specialty Center Of Baton Rouge, LLC
$495.00Published rateThibodaux Surgery Center, LLC, Bayou Region Surgical Center
Thibodaux Surgery Center, LLC Dba Bayou Region Surgical Center
$80.00Published rate
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See a sample payer proposalHCPCS C9738 vs. Other Other Therapeutic Services and Supplies Codes
The HCPCS C9738 code is part of the Outpatient PPS services used for Other Therapeutic Services 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 C9738 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 |
|---|---|---|
| C9734-HCPCS | Moderate | Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance |
| C9738-HCPCS | Low | Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure) |
| C9739-HCPCS | Moderate | Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9738. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9738 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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