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See a sample rate comparisonHCPCS G0176 Fee Schedule
HCPCS G0176 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0176 |
National average reimbursement for HCPCS G0176 by major payers:
$105.16
BCBS / Anthem
$51.00
UnitedHealthcare
$70.86
Aetna
$220.84
Cigna
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HCPCS G0176
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See a sample payer proposalHCPCS G0176 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0176. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0175-HCPCS | Moderate | Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
| G0176-HCPCS | Low | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
| G0177-HCPCS | Low | Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0176. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0176 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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