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See a sample rate comparisonHCPCS G0146 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.
Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0146 |
National average reimbursement for HCPCS G0146 by major payers:
$62.73
$65.15
$47.94
$81.71
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HCPCS G0146
5 of 25 sample ratesHigher to lower in this preview
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$133.74Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$104.93Published rateAlicia Encinas
Miguel A Arenas Md PC
$72.48Published 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 G0146 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The HCPCS G0146 code is part of the Procedures / Professional Services services used for Miscellaneous Diagnostic and Therapeutic 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 G0146 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 |
|---|---|---|
| G0146-HCPCS | Low | Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0146. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0146 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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