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See a sample rate comparisonHCPCS G0491 Fee Schedule
HCPCS G0491 is classified under Procedures / Professional Services, in the Other Services subgroup.
Dialysis procedure at a medicare certified ESRD facility for acute kidney injury without ESRD
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Common Revenue Codes | 0821 |
National average reimbursement for HCPCS G0491 by major payers:
$99.56
BCBS / Anthem
$N/A
UnitedHealthcare
$1,006.36
Aetna
$547.49
Cigna
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HCPCS G0491
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0491 vs. Other Other Services Codes
The table lists codes related to G0491. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0490-HCPCS | Face-to-face home health nursing visit by a rural health clinic (RHC) or federally qualified health center (FQHC) in an area with a shortage of home health agencies; (services limited to RN or LPN only) |
| G0491-HCPCS | Dialysis procedure at a medicare certified ESRD facility for acute kidney injury without ESRD |
| G0492-HCPCS | Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0491. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0491 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
Which revenue codes are billed with HCPCS G0491?
Hospital price transparency files list HCPCS G0491 under these revenue codes: 0821. A revenue code names the hospital department or charge category for the line; it does not change what the service is.