HCPCS G0447 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 G0447 by major payers:
$30.99
$33.80
$29.85
$27.41
| 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 G0447 | ||||||
United | G0447 | $66.56 | 1790959732 - ANKUR RANA | 910369070 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $34.04 | 1235108978 - JEANNE RUPERT | 916001327 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $39.22 | 1902433873 - CLARA GARCIA | 910940515 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $30.14 | 1205854395 - TERRILL HARRINGTON | 571161110 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $63.22 | 1164413837 - MARK HOFFMANN | 910565889 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $54.25 | 1952342974 - PAUL BOONE | 911939739 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $67.98 | 1912584061 - BLAKE HENLEY | 562290878 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $63.68 | 1912944836 - KERSTIN BEIJER | 910214500 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $33.29 | 1447772413 - CLIFF MOECKELMANN | 911349657 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $64.51 | 1164413837 - MARK HOFFMANN | 910565889 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $65.34 | 1770519217 - KENNETH MAYEDA | 911942315 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $54.65 | 1861572844 - TIM BURNER | 832849989 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $64.23 | 1144712639 - MARK TOM | 911491167 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $65.34 | 1699120303 - DANE NIMAKO | 911942315 | WA | Family Medicine Physician (207Q00000X) |
United | G0447 | $83.65 | 1699120303 - DANE NIMAKO | 911942315 | WA | 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 G0447 vs. Other Counseling, Screening, and Prevention Services Codes
The HCPCS G0447 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 G0447 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 |
|---|---|---|
| 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 |
| G0448-HCPCS | High | Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0447. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0447 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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