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See a sample rate comparisonHCPCS G0022 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.
Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019)
| 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 G0022 |
National average reimbursement for HCPCS G0022 by major payers:
$58.73
$54.24
$46.65
$81.71
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HCPCS G0022
5 of 25 sample ratesHigher to lower in this preview
Kamran Rajaee
$117.73Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$74.56Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$70.58Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$59.79Published rateAlicia Encinas
Miguel A Arenas Md PC
$30.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0022 vs. Other Psychotherapy, Pre-Exposure Prophylaxis Counseling and Community Health Integration Services Codes
The HCPCS G0022 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 G0022 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 |
|---|---|---|
| G0022-HCPCS | Low | Community health integration services, each additional 30 minutes per calendar month (list separately in addition to g0019) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0022. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0022 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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