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See a sample rate comparisonHCPCS G0342 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.
Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for G0342 |
National average reimbursement for HCPCS G0342 by major payers:
$892.15
$923.20
$740.21
$787.05
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HCPCS G0342
5 of 25 sample ratesHigher to lower in this preview
Keck Medical Center Of Usc
$16,586.00Published rateNortheast Georgia Medical Center Habersham LLC
$1,778.00Published rateMaricopa County Special Health Care District, Maricopa Integrated Health
$1,514.00Published rateDonalsonville Hospital Inc
$1,020.39Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$705.28Published rate
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See a sample payer proposalHCPCS G0342 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The HCPCS G0342 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 G0342 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 |
|---|---|---|
| G0341-HCPCS | High | Percutaneous islet cell transplant, includes portal vein catheterization and infusion |
| G0342-HCPCS | Moderate | Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion |
| G0343-HCPCS | High | Laparotomy for islet cell transplant, includes portal vein catheterization and infusion |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0342. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0342 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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