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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 | $56.225 median of the 6 states in the free preview · View Medicaid rates for E0945 |
National average reimbursement for HCPCS E0945 by major payers:

$37.30

$31.12

$32.39

$74.00
Choose a payer to see a sample of rates for HCPCS E0945.
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
Christopher Raio
Good Samaritan Hosptial Medical Center
Screven County Hospital, LLC, Optim Medical Center - Screven
Tattnall Hospital Company, LLC, Optim Medical Center - Tattnall
Piedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E0945 vs. Other Traction and Other Orthopedic Devices Codes
The HCPCS E0945 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 E0945 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 |
|---|---|---|
| E0944-HCPCS | Low | Pelvic belt/harness/boot |
| E0945-HCPCS | Low | Extremity belt/harness |
| E0946-HCPCS | Moderate | Fracture, frame, dual with cross bars, attached to bed, (e.g., balken, 4 poster) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0945. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0945 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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