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See a sample rate comparisonHCPCS G0046 Fee Schedule
HCPCS G0046 is classified under Procedures / Professional Services, in the MIPS Measures subgroup.
Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services MIPS Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G0046 by major payers:
$70.91
BCBS / Anthem
$657.67
UnitedHealthcare
$1,417.82
Aetna
$535.00
Cigna
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HCPCS G0046
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See a sample payer proposalHCPCS G0046 vs. Other MIPS Measures Codes
The table lists codes related to G0046. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0045-HCPCS | Moderate | Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention |
| G0046-HCPCS | Low | Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention |
| G0047-HCPCS | Low | Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0046. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0046 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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