HCPCS G0277 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Procedures / Professional Services • Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G0277 by major payers:
$174.93
$125.90
$140.90
$195.51
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS G0277 | ||||||
United | G0277 | $667.40 | 1447270459 - MICHAEL INGEGNO | 941156581 - SUTTER BAY MEDICAL FOUNDATION | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $174.47 | 1881957694 - ANDERS DAVIDSON | 680357690 - ADVENTIST HEALTH PHYSICANS NETWORK | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $130.22 | 1396030102 - THOMAS HEAFNER | 834368943 - (CA) PINNACLE SJIR | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $154.50 | 1730406729 - ALEXANDER NGUYEN | 942839324 - (CA) SAINT AGNES MEDICAL FOUNDATION | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $306.30 | 1154772515 - JOYCE LU | 263021328 - (CA) SILICON VALLEY MEDICAL DEVELOPMENT, LLC | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $611.77 | 1427133438 - EDMUND HARRIS | 770465765 | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $259.52 | 1427402445 - WILLIAM DUONG | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $47.20 | 1952365025 - JACK YANG | 201436230 - (CA) JACK C YANG MD A MEDICAL CORPORATION | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $277.27 | 1801039615 - JENNIFER AVISE | 562605608 - BAY AREA SURGICAL SPECIALISTS, INC. | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $291.23 | 1215469945 - ALYSSA PYUN | 954540991 - USC CARE MEDICAL GROUP INC | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $418.45 | 1558627893 - LILY JOHNSTON | 870737749 | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $103.41 | 1811064728 - RICHARD GUEST | 861740935 - (CA) PRIORITY FAMILY CARE CENTER APC | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $382.95 | 1437377280 - MANUEL GARCIA-TOCA | 582030692 - EMORY UNIVERSITY | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $640.66 | 1235690330 - SIWEI DONG | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Vascular Surgery Physician (2086S0129X) |
United | G0277 | $289.42 | 1174969505 - JOIE DUNN | 900731390 - (CA) DIGNITY HEALTH MEDICAL FOUNDATION | CA | Vascular Surgery Physician (2086S0129X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS G0277 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The HCPCS G0277 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 G0277 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 |
|---|---|---|
| G0276-HCPCS | Moderate | Blinded procedure for lumbar stenosis, percutaneous image-guided lumbar decompression (PILD) or placebo-control, performed in an approved coverage with evidence development (CED) clinical trial |
| G0277-HCPCS | Low | Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval |
| G0278-HCPCS | Low | Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0277. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0277 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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