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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 | Procedures / Professional Services Analysis of Semen Specimen |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0027 |
National average reimbursement for HCPCS G0027 by major payers:

$6.57

$6.25

$6.58

$5.77
Choose a payer to see a sample of rates for HCPCS G0027.
Carolina Radiology Associates, LLC
Doctors Hospital Of Slidell, LLC
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
Park Place Surgical Hospital
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
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 G0027 vs. Other Analysis of Semen Specimen Codes
The HCPCS G0027 code is part of the Procedures / Professional Services services used for Analysis of Semen Specimen. 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 G0027 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 |
|---|---|---|
| G0010-HCPCS | Low | Administration of hepatitis B vaccine |
| G0027-HCPCS | Low | Semen analysis; presence and/or motility of sperm excluding huhner |
| G0029-HCPCS | Low | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0027. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0027 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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