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See a sample rate comparisonHCPCS G0009 Fee Schedule
Last Verified: September 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.
Administration of pneumococcal vaccine
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Vaccine Administration |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0009 |
National average reimbursement for HCPCS G0009 by major payers:
$27.71
$22.19
$17.78
$43.23
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HCPCS G0009
5 of 25 sample ratesHigher to lower in this preview
Alexander Petcu
$16.20Published rateBertha Mayorquin
$16.20Published rateLeonard Schindel
$16.20Published rateZorica Mercadante
$14.57Published rateRichard Romano
$14.57Published rate
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See a sample payer proposalHCPCS G0009 vs. Other Vaccine Administration Codes
The HCPCS G0009 code is part of the Procedures / Professional Services services used for Vaccine Administration. 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 G0009 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 |
|---|---|---|
| G0008-HCPCS | Low | Administration of influenza virus vaccine |
| G0009-HCPCS | Low | Administration of pneumococcal vaccine |
| G0010-HCPCS | Low | Administration of hepatitis B vaccine |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0009. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0009 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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