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HCPCS G0372 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.

Physician service required to establish and document the need for a power mobility device
Key FactDetail
Service Type

Procedures / Professional Services

Miscellaneous Diagnostic and Therapeutic Services

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for G0372

National average reimbursement for HCPCS G0372 by major payers:

bcbs

$13.43

uhc

$13.64

aetna

$10.22

cigna

$9.40

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS G0372.

HCPCS G0372
5 of 25 sample ratesHigher to lower in this preview
  1. Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite

    Childrens Healthcare Of Atlanta Inc

    GAChildren's HospitalNPI 1922178789Tax ID 58-0572465

    $30.29Published rate
  2. Ujuka Iloabuchi

    Atlanta Womens Health Group, P.C.

    GAWomen's HospitalNPI 1306136551Tax ID 58-2422542

    $17.51Published rate
  3. Floyd Healthcare Management Inc, Atrium Health Floyd Medical Center

    Floyd Healthcare Management, Inc.

    GAGeneral Acute Care HospitalNPI 1154377166Tax ID 58-1973570

    $15.01Published rate
  4. Andrew Laster

    Arthritis And Osteoporosis Consultants Of The Carolinas, PA

    NCRheumatology PhysicianNPI 1669428488Tax ID 56-2202409

    $11.81Published rate
  5. Cindy Chang

    Miguel A Arenas Md PC

    AZFamily Nurse PractitionerNPI 1316561236Tax ID 30-0394179

    $7.00Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS G0372 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes

The HCPCS G0372 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 G0372 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.

CodeComplexityDescription
G0343-HCPCSHighLaparotomy for islet cell transplant, includes portal vein catheterization and infusion
G0372-HCPCSLowPhysician service required to establish and document the need for a power mobility device
G0378-HCPCSLowHospital observation service, per hour

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0372. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0372 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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