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See a sample rate comparisonHCPCS G0343 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Laparotomy 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 | High |
| Medicaid Fee Schedule | View Medicaid rates for G0343 |
National average reimbursement for HCPCS G0343 by major payers:
$1,407.82
$1,540.49
$1,224.33
$1,285.87
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HCPCS G0343
5 of 25 sample ratesHigher to lower in this preview
Redmond Park Hospital, LLC, Redmond Regional Medical Center
Redmond Park Hospital LLC
$5,148.00Published rateHospital Authority Of Candler County, Candler County Hospital
$2,250.72Published rateMaricopa County Special Health Care District
$1,762.00Published rateMaricopa County Special Healthcare District, Maricopa Integrated Health
$1,514.00Published rateMiguel Arenas
Miguel A Arenas Md PC
$936.40Published rate
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See a sample payer proposalHCPCS G0343 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The HCPCS G0343 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 G0343 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 |
|---|---|---|
| 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 |
| G0372-HCPCS | Low | Physician service required to establish and document the need for a power mobility device |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0343. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0343 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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