PayerPrice
Data Platform
Sign InCheck Local Rates

HCPCS G0559 Fee Schedule

Last Verified: August 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.

Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)
Key FactDetail
Service Type

Procedures / Professional Services

Other Services

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for G0559

National average reimbursement for HCPCS G0559 by major payers:

bcbs

$12.67

uhc

$9.11

aetna

$9.86

cigna

$10.11

Preview provider-level rates for...
For billing codeHCPCS G0559
PayerCodeRateNPITax IDStateSpecialty
United
G0559$16.901306136551 - UJUKA ILOABUCHI582422542 - ATLANTA WOMENS HEALTH GROUP, P.C.GAWomen's Hospital (282NW0100X)
United
G0559$18.011306136551 - UJUKA ILOABUCHI474870066 - (GA) GWINNETT OBGYN ASSOCIATES OF GEORGIA LLCGAWomen's Hospital (282NW0100X)
United
G0559$16.731174512115 - MICHAEL GUILLETTE271495988 - (NM) AZTEC URGENT CARE LLCCOPhysician Assistant (363A00000X)
United
G0559$11.751669488250 - ELBERT MEMORIAL HOSPITAL586002491 - (GA) ELBERT MEMORIAL HOSPITALGACritical Access Hospital (282NC0060X)
United
G0559$11.231235129214 - EMANUEL COUNTY HOSPITAL AUTHORITY, EMANUEL MEDICAL CENTER586002922GARural Acute Care Hospital (282NR1301X)
United
G0559$11.771508361841 - CHRISTOPHER CHAMBERS10594994 - COOPERATIVE HEALTHCARE SERVICES INCGARural Acute Care Hospital (282NR1301X)
United
G0559$19.441063741163 - AZTEC URGENT CARE, LLC271495988 - (NM) AZTEC URGENT CARE LLCNMUrgent Care Clinic/Center (261QU0200X)
United
G0559$12.551518912666 - STEPHENS COUNTY ANESTHESIA SERVICES,LLC300429607 - (GA) STEPHENS COUNTY ANESTHESIA SERVICESLLCGARural Acute Care Hospital (282NR1301X)
United
G0559$15.251790715381 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL DULUTH582002413GAGeneral Acute Care Hospital (282N00000X)
United
G0559$12.611861478851 - CLINCH COUNTY HOSPITAL AUTHORITY586011853 - (GA) CLINCH COUNTY HOSPITAL AUTHORITYGACritical Access Hospital (282NC0060X)
United
G0559$19.101992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS581537752 - EMORY UNIVERSITYGAGeneral Acute Care Hospital (282N00000X)
United
G0559$16.401396770004 - HOSPITAL AUTHORITY OF WASHINGTON COUNTY, WASHINGTON COUNTY REGIONAL MEDICAL CENTER814817422GARural Acute Care Hospital (282NR1301X)
United
G0559$11.231235129214 - EMANUEL COUNTY HOSPITAL AUTHORITY, EMANUEL MEDICAL CENTER586002922GARural Acute Care Hospital (282NR1301X)
United
G0559$10.511346209137 - GOOD SAMARITAN HOSPITAL, INC., ST. MARY'S GOOD SAMARITAN HOSPITAL261720984 - (GA) GOOD SAMARITAN HOSPITAL INCGACritical Access Hospital (282NC0060X)
United
G0559$9.721508900101 - MICHAEL KOCH30450086 - (GA) CHESTATEE PATHOLOGY ASSOCIATES PCGAGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

Want to see your competitors' rates?

Start your trial today to unlock complete access to provider rates and fee schedules in your area.

Here's what you can do with PayerPrice

Renegotiate your managed care contracts

Benchmark your current rates against market averages to identify opportunities for rate optimization.

Prospect for new business using fee schedules

Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.

Integrate real-time payer data into your workflows

Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.

PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.

HCPCS G0559 vs. Other Other Services Codes

The HCPCS G0559 code is part of the Procedures / Professional Services services used for Other 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 G0559 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.

CodeComplexityDescription
G0559-HCPCSLowPost-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0559. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0559 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.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like HCPCS G0559) and we'll show you how you compare in 15 minutes or less.