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See a sample rate comparisonHCPCS G0047 Fee Schedule
HCPCS G0047 is classified under Procedures / Professional Services, in the MIPS Measures subgroup.
Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services MIPS Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G0047 by major payers:
$68.81
BCBS / Anthem
$663.33
UnitedHealthcare
$2,888.13
Aetna
$552.81
Cigna
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HCPCS G0047
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0047 vs. Other MIPS Measures Codes
The table lists codes related to G0047. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0048-HCPCS | Low | Patients who receive palliative care services any time during the intake period through the end of the measurement year |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0047. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0047 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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