HCPCS C9779 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Outpatient PPS • Other Therapeutic Services and Supplies |
| Complexity Level | Moderate |
National average reimbursement for HCPCS C9779 by major payers:
$497.66
$N/A
$8,062.70
$N/A
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS C9779 | ||||||
United | C9779 | $2505.00 | 1013010917 - COMMUNITY MEDICAL CENTER INC | 223452306 | NJ | General Acute Care Hospital (282N00000X) |
United | C9779 | $2166.00 | 1548328750 - PACIFICA OF THE VALLEY CORPORATION, PACIFICA HOSPTIAL OF THE VALLEY | 330737312 - (CA) PACIFICA OF THE VALLEY CORPORATION DBA | CA | General Acute Care Hospital (282N00000X) |
United | C9779 | $5906.00 | 1295755676 - PALM SPRINGS GENERAL HOSPITAL INC NEW CORPORATION, PALM SPRINGS GENERAL HOSPITAL, INC. | 475625607 | FL | General Acute Care Hospital (282N00000X) |
United | C9779 | $5763.00 | 1992776405 - HCA HEALTH SERVICES OF TENNESSEE, INC., TRISTAR STONECREST MEDICAL CENTER | 621113737 - (TN) HCA HEALTH SERVICES OF TENNESSEE INC | TN | General Acute Care Hospital (282N00000X) |
United | C9779 | $6634.00 | 1427064310 - MARY IMMACULATE HOSPITAL LLC, MARY IMMACULATE HOSPITAL | 540548200 | VA | General Acute Care Hospital (282N00000X) |
United | C9779 | $3556.00 | 1184622847 - CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | 741161938 - CHI ST LUKES HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER | TX | General Acute Care Hospital (282N00000X) |
United | C9779 | $3728.00 | 1376139139 - NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC, NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER | 853777599 | NC | General Acute Care Hospital (282N00000X) |
United | C9779 | $5054.00 | 1285663856 - ROCKDALE MEDICAL CENTER INC., ROCKDALE HOSPITAL | 300999841 - (GA) PIEDMONT ROCKDALE HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | C9779 | $4982.00 | 1871193664 - CFHS SUB I, LLC, UCF LAKE NONA HOSPITAL | 854247323 - (FL) CFHS SUB I LLC | FL | General Acute Care Hospital (282N00000X) |
United | C9779 | $5692.00 | 1760794044 - VHS SINAI-GRACE HOSPITAL INC, SINAI-GRACE HOSPITAL | 272844632 | MI | General Acute Care Hospital (282N00000X) |
United | C9779 | $3874.00 | 1902125529 - VHS WEST SUBURBAN MEDICAL CENTER INC | 611899386 | IL | General Acute Care Hospital (282N00000X) |
United | C9779 | $3068.00 | 1659559573 - ST LUKES COMMUNITY DEVELOPMENT CORPORATION, ST LUKES SUGAR LAND HOSPITAL | 261947374 - (TX) ST LUKES COMMUNITY DEVELOPMENT CORPORATION-SUGAR LAND | TX | General Acute Care Hospital (282N00000X) |
United | C9779 | $11109.00 | 1508810565 - REDMOND PARK HOSPITAL, LLC, REDMOND REGIONAL MEDICAL CENTER | 581123037 - (GA) REDMOND PARK HOSPITAL LLC | GA | General Acute Care Hospital (282N00000X) |
United | C9779 | $3360.00 | 1154748416 - AGH LAVEEN LLC, DIGNITY HEALTH ARIZONA GENERAL HOSPITAL | 471587223 - (AZ) AGH LAVEEN LLC | AZ | General Acute Care Hospital (282N00000X) |
United | C9779 | $8384.00 | 1760420103 - AURORA MEDICAL CENTER OF WASHINGTON COUNTY, INC., AURORA MEDICAL CENTER HARTFORD | 391150165 - (WI) AURORA HEALTH CARE INC | WI | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS C9779 vs. Other Other Therapeutic Services and Supplies Codes
The HCPCS C9779 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 C9779 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 |
|---|---|---|
| C9778-HCPCS | Moderate | Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous) |
| C9779-HCPCS | Moderate | Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed |
| C9780-HCPCS | Moderate | Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9779. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9779 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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