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See a sample rate comparisonHCPCS G0304 Fee Schedule
Last Verified: October 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.
Pre-operative pulmonary surgery services for preparation for LVRS, 1 to 9 days of services
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Moderate |
National average reimbursement for HCPCS G0304 by major payers:
$222.89
$51.08
$223.63
$27.63
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HCPCS G0304
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$1,560.64Published rateLake Surgical Hospital Slidell, LLC, Southern Surgical Hospital
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$825.51Published rateParish Hospital Service District For The Parish Of Orleans, New Orleans East Hospital
$706.03Published rateDoctors' Hospital Of Slidell, LLC, Sterling Surgical Hospital
Doctors Hospital Of Slidell, LLC
$625.33Published rateSabine Medical Center Inc, Sabine Medical Center
$553.40Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0304 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The HCPCS G0304 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 G0304 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 |
|---|---|---|
| G0303-HCPCS | Moderate | Pre-operative pulmonary surgery services for preparation for LVRS, 10 to 15 days of services |
| G0304-HCPCS | Moderate | Pre-operative pulmonary surgery services for preparation for LVRS, 1 to 9 days of services |
| G0305-HCPCS | Moderate | Post-discharge pulmonary surgery services after LVRS, minimum of 6 days of services |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0304. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0304 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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