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See a sample rate comparisonHCPCS G0453 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.
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0453 |
National average reimbursement for HCPCS G0453 by major payers:
$40.29
$40.52
$47.22
$34.05
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HCPCS G0453
5 of 25 sample ratesHigher to lower in this preview
H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.
H Lee Moffitt Cancer Center And Research Institute Hospital Inc
$1,793.00Published rateMaricopa County Special Health Care District, Maricopa Integrated Heatlh
$617.00Published rateSt Francis Medical Center, Inc
St Francis Medical Center Inc
$518.00Published rateSlent Investments, LLC, Slent Surgery Center
Slent Investments LLC
$128.00Published rateMiguel Arenas
Miguel A Arenas Md PC
$27.26Published rate
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See a sample payer proposalHCPCS G0453 vs. Other Miscellaneous Services Codes
The HCPCS G0453 code is part of the Procedures / Professional Services services used for Miscellaneous 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 G0453 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 |
|---|---|---|
| G0452-HCPCS | Low | Molecular pathology procedure; physician interpretation and report |
| G0453-HCPCS | Low | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) |
| G0454-HCPCS | Low | Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0453. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0453 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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