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 | $5040.00 | 1497797088 - REX HOSPITAL INC., REX HOSPITAL | 561509260 - REX HOSPITAL INC | NC | General Acute Care Hospital (282N00000X) |
United | C9779 | $6430.00 | 1598181091 - WESTCHESTER COUNTY HEALTH CARE CORPORATION, MID-HUDSON VALLEY DIVISION OF WESTCHESTER MEDICAL CENTER | 133964321 - (NY) PEO MID-HUDSON VALLEY STAFFCO | NY | General Acute Care Hospital (282N00000X) |
United | C9779 | $3917.00 | 1932642972 - ST LUKES HOSPITAL OF KANSAS CITY, SAINT LUKE'S HOSPITAL OF KANSAS CITY | 440545297 - ST LUKES HOSPITAL OF KANSAS CITY | MO | General Acute Care Hospital (282N00000X) |
United | C9779 | $2825.58 | 1982604021 - GEORGETOWN MEMORIAL HOSPITAL, TIDELANDS GEORGETOWN MEMORIAL HOSPITAL | 570341194 - GEORGETOWN MEMORIAL HOSPITAL | SC | General Acute Care Hospital (282N00000X) |
United | C9779 | $9389.00 | 1649794157 - OU MEDICINE INC. | 821883948 - (OK) OU MEDICINE INC | OK | General Acute Care Hospital (282N00000X) |
United | C9779 | $4133.00 | 1265818488 - SMSJ TUCSON HOLDINGS LLC, ST. MARYS HOSPITAL | 474131755 | AZ | General Acute Care Hospital (282N00000X) |
United | C9779 | $4184.00 | 1538164090 - UNIVERSITY HEALTH SYSTEM, INC., UNIVERSITY OF TENNESSEE MEDICAL CENTER | 311626179 - (TN) UNIVERSITY HEALTH SYSTEMS INC | TN | 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 | $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 | $10633.00 | 1891938122 - AHMC ANAHEIM REGIONAL MEDICAL, AHMC ANAHEIM REGIONAL MEDICAL CENTER | 900454894 - (CA) AHMC ANAHEIM REGIONAL MEDICAL | CA | General Acute Care Hospital (282N00000X) |
United | C9779 | $3789.00 | 1417089350 - DIGNITY COMMUNITY CARE, NORTHRIDGE HOSPITAL MEDICAL CENTER | 870692258 - (CA) DIGNITY COMMUNITY CARE | CA | General Acute Care Hospital (282N00000X) |
United | C9779 | $5815.00 | 1801823349 - DLP FRYE REGIONAL MEDICAL CENTER LLC, FRYE REGIONAL MEDICAL CENTER | 352547114 | NC | General Acute Care Hospital (282N00000X) |
United | C9779 | $3874.00 | 1053353490 - SAINT LUKES EAST HOSPITAL, SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL | 562488077 - (MO) SAINT LUKES EAST HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | C9779 | $4606.00 | 1013346550 - MOUNTAIN STATES HEALTH ALLIANCE, UNICOI COUNTY HOSPITAL | 620476282 - MOUNTAIN STATES HEALTH ALLIANCE | TN | General Acute Care Hospital (282N00000X) |
United | C9779 | $3984.00 | 1497798847 - BAPTIST HEALTHCARE SYSTEM, INC., BAPTIST HEALTH FLOYD | 610444707 - BAPTIST HEALTHCARE SYSTEM INC | IN | 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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