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HCPCS G0453 Fee Schedule

Medicare rates as of October 2026

HCPCS G0453 is classified under Procedures / Professional Services, in the Miscellaneous Services subgroup.

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 FactDetail
Service Type

Procedures / Professional Services

Miscellaneous Services

Add-on Code For9582295860Sign up to view all 28
Common Revenue Codes03600361Sign up to view all 6
Medicare Fee Schedule$27.39 national non-facility rate (2026)View Medicare rates for G0453
Medicaid Fee Schedule$23.725 median of the 8 states in the free previewView Medicaid rates for G0453

National average reimbursement for HCPCS G0453 by major payers:

BCBS / Anthem logo

$40.29

BCBS / Anthem

UnitedHealthcare logo

$40.52

UnitedHealthcare

Aetna logo

$47.22

Aetna

Cigna logo

$34.05

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS G0453.

HCPCS G0453
5 of 25 sample ratesHigher to lower in this preview
  1. H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.

    H Lee Moffitt Cancer Center And Research Institute Hospital Inc

    FLSpecial HospitalNPI 1780653618Tax ID 59-3238634

    $1,793.00Published rate
  2. Maricopa County Special Health Care District, Maricopa Integrated Heatlh

    AZFederally Qualified Health Center (FQHC)NPI 1306265145Tax ID 86-0830701

    $617.00Published rate
  3. St Francis Medical Center, Inc

    St Francis Medical Center Inc

    LAGeneral Acute Care HospitalNPI 1295723229Tax ID 72-0408970

    $518.00Published rate
  4. Slent Investments, LLC, Slent Surgery Center

    Slent Investments LLC

    LAAmbulatory Surgical Clinic/CenterNPI 1134590912Tax ID 47-2307119

    $128.00Published rate
  5. Miguel Arenas

    Miguel A Arenas Md PC

    AZGastroenterology PhysicianNPI 1619087590Tax ID 30-0394179

    $27.26Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS G0453 vs. Other Miscellaneous Services Codes

The table lists codes related to G0453. Select one to see its fee schedule.

CodeDescription
G0452-HCPCSMolecular pathology procedure; physician interpretation and report
G0453-HCPCSContinuous 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-HCPCSPhysician 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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Frequently Asked Questions

Is HCPCS G0453 an add-on code?


Yes. CMS add-on code edits list HCPCS G0453 as an add-on code, billed with a primary code. Its primary codes: including 95822, 95860, 95861, 95863 and 95864.

Which revenue codes are billed with HCPCS G0453?


Hospital price transparency files list HCPCS G0453 under these revenue codes: including 0360, 0361, 0362, 0367 and 0369. A revenue code names the hospital department or charge category for the line; it does not change what the service is.

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