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See a sample rate comparisonHealthcare 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 | Durable Medical Equipment Traction and Other Orthopedic Devices |
| Complexity Level | Low |
| Medicaid Fee Schedule | $23.165 median of the 6 states in the free preview · View Medicaid rates for E0942 |
National average reimbursement for HCPCS E0942 by major payers:

$16.84

$14.08

$14.69

$33.04
Choose a payer to see a sample of rates for HCPCS E0942.
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
The Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
Hospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
Floyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
Clinch County Hospital Authority
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalHCPCS E0942 vs. Other Traction and Other Orthopedic Devices Codes
The HCPCS E0942 code is part of the Durable Medical Equipment services used for Traction and Other Orthopedic Devices. 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 E0942 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 |
|---|---|---|
| E0941-HCPCS | Moderate | Gravity assisted traction device, any type |
| E0942-HCPCS | Low | Cervical head harness/halter |
| E0944-HCPCS | Low | Pelvic belt/harness/boot |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0942. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0942 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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