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See a sample rate comparisonHCPCS G0455 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.
Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0455 |
National average reimbursement for HCPCS G0455 by major payers:
$142.50
$161.59
$145.91
$140.99
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HCPCS G0455
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$2,681.58Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$170.08Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$148.75Published rateJulie Webster
Musc Community Physicians
$134.19Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$63.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0455 vs. Other Miscellaneous Services Codes
The HCPCS G0455 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 G0455 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 |
|---|---|---|
| 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 |
| G0455-HCPCS | Low | Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen |
| G0458-HCPCS | Moderate | Low dose rate (LDR) prostate brachytherapy services, composite rate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0455 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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