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See a sample rate comparisonHCPCS G0435 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.
Infectious agent antibody detection by rapid antibody test, HIV-1 and/or HIV-2, screening
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Laboratory Screening Tests |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0435 |
National average reimbursement for HCPCS G0435 by major payers:
$11.67
$8.61
$11.58
$10.53
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HCPCS G0435
5 of 25 sample ratesHigher to lower in this preview
Lasalle Parish Hospital Service Dist No1, Hardtner Medical Center
Hardtner Medical Center
$22.20Published rateJulie Webster
Musc Community Physicians
$13.18Published rateSt Francis Medical Center, Inc
St Francis Medical Center Inc
$11.97Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$6.21Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$4.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0435 vs. Other Laboratory Screening Tests Codes
The HCPCS G0435 code is part of the Procedures / Professional Services services used for Laboratory Screening Tests. 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 G0435 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 |
|---|---|---|
| G0433-HCPCS | Low | Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening |
| G0435-HCPCS | Low | Infectious agent antibody detection by rapid antibody test, HIV-1 and/or HIV-2, screening |
| G0438-HCPCS | Moderate | Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0435. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0435 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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