HCPCS G0446 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Procedures / Professional Services • Counseling, Screening, and Prevention Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G0446 by major payers:
$31.54
$33.82
$28.47
$27.42
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS G0446 | ||||||
United | G0446 | $33.81 | 1659934438 - STEPHEN YARBROUGH | 365055232 - (GA) DOERUN PRIMARY CARE CLINIC LLC | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $31.95 | 1164448098 - ERNESTO HERNANDEZ | 10547990 - (GA) ATLANTA HEART CENTER LLP | GA | Cardiovascular Disease Physician (207RC0000X) |
United | G0446 | $61.18 | 1861832362 - ARASH RAVANMEHR | 273818647 | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $38.79 | 1780750828 - FAMILY MEDICAL ASSOCIATES OF AUGUSTA INC | 582012930 - (GA) FAMILY MEDICINE ASSOCIATES OF AUGUSTA, P.C. | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $45.02 | 1811913486 - CANDLER MEDICAL GROUP, INC., SJC MED GRP ISLANDS | 461173148 | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $25.35 | 1902005762 - RAVI YARID | 231355135 - (PA) PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $25.37 | 1275971285 - ASIYA MAHMUT | 842606579 - (CT) CONFERMED PC | GA | Cardiovascular Disease Physician (207RC0000X) |
United | G0446 | $24.06 | 1184900383 - DAVID KATZ | 582576600 | GA | General Practice Physician (208D00000X) |
United | G0446 | $40.02 | 1356331680 - HITESH CHOKSHI | 582238919 - (GA) ATLANTA GASTROENTEROLOGY ASSOCIATES | GA | Gastroenterology Physician (207RG0100X) |
United | G0446 | $37.34 | 1346236510 - SALIL PATEL | 452722781 - (GA) CARDIOVASCULAR CLINIC OF NORTH GEORGIA PC | GA | Cardiovascular Disease Physician (207RC0000X) |
United | G0446 | $65.72 | 1326020876 - MELODY BRAY-ROSS | 852062174 - (GA) ASCEND MEDICAL GEORGIA PC | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $92.84 | 1497161715 - HARRIET CROCKETT-WOODS | 582147112 - (GA) CHILDRENS HEALTHCARE OF ATLANTA INC | GA | General Practice Physician (208D00000X) |
United | G0446 | $84.44 | 1184079212 - JODI-ANN HEATH | 204700877 | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $21.34 | 1023299419 - CHARLES FINCH | 205870972 - (GA) FOUR CORNERS PRIMARY CARE CENTERS INC | GA | Family Medicine Physician (207Q00000X) |
United | G0446 | $34.63 | 1013921428 - ROBERT BENSON | 271198208 | GA | Family Medicine Physician (207Q00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS G0446 vs. Other Counseling, Screening, and Prevention Services Codes
The HCPCS G0446 code is part of the Procedures / Professional Services services used for Counseling, Screening, and Prevention 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 G0446 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 |
|---|---|---|
| G0445-HCPCS | Low | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
| G0446-HCPCS | Low | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
| G0447-HCPCS | Low | Face-to-face behavioral counseling for obesity, 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 G0446. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0446 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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