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See a sample rate comparisonHCPCS G0018 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.
Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0018 |
National average reimbursement for HCPCS G0018 by major payers:
$130.84
$130.54
$99.45
$170.56
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HCPCS G0018
5 of 25 sample ratesHigher to lower in this preview
Kamran Rajaee
$338.98Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$184.44Published rateJulie Webster
Carolina Radiology Associates, LLC
$147.94Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$125.13Published rateAlicia Encinas
Miguel A Arenas Md PC
$81.19Published rate
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See a sample payer proposalHCPCS G0018 vs. Other Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services Codes
The HCPCS G0018 code is part of the Procedures / Professional Services services used for Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services. 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 G0018 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 |
|---|---|---|
| G0018-HCPCS | Low | Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0018. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0018 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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