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See a sample rate comparisonHCPCS G0443 Fee Schedule
Medicare rates as of October 2026
HCPCS G0443 is classified under Procedures / Professional Services, in the Counseling, Screening, and Prevention Services subgroup.
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Counseling, Screening, and Prevention Services |
| Hospital Outpatient Group (APC) | APC 5822 - Level 2 Health and Behavior Services |
| Common Revenue Codes | 05100521 |
| Medicare Fee Schedule | $34.40 national non-facility rate (2026)View Medicare rates for G0443 |
| Medicaid Fee Schedule | $28.065 median of the 8 states in the free previewView Medicaid rates for G0443 |
National average reimbursement for HCPCS G0443 by major payers:
$30.23
BCBS / Anthem
$33.79
UnitedHealthcare
$27.67
Aetna
$27.07
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0443.
HCPCS G0443
5 of 25 sample ratesHigher to lower in this preview
Lallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$131.21Published rateProgressive Acute Care Avoyelles, LLC, Avoyelles Hospital
$97.19Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$38.84Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$27.51Published rateMiguel Arenas
Miguel A Arenas Md PC
$19.43Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0443 vs. Other Counseling, Screening, and Prevention Services Codes
The table lists codes related to G0443. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0442-HCPCS | Annual alcohol misuse screening, 5 to 15 minutes |
| G0443-HCPCS | Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
| G0444-HCPCS | Annual depression screening, 5 to 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0443. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0443 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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Frequently Asked Questions
What APC is HCPCS G0443 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0443 to APC 5822 (Level 2 Health and Behavior Services). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0443?
Hospital price transparency files list HCPCS G0443 under these revenue codes: 0510 and 0521. A revenue code names the hospital department or charge category for the line; it does not change what the service is.