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See a sample rate comparisonHCPCS G0913 Fee Schedule
HCPCS G0913 is classified under Procedures / Professional Services, in the Quality Measures for Cataract Surgery subgroup.
Improvement in visual function achieved within 90 days following cataract surgery
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Quality Measures for Cataract Surgery |
| Complexity Level | Low |
National average reimbursement for HCPCS G0913 by major payers:
$64.63
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$0.00
Cigna
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HCPCS G0913
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0913 vs. Other Quality Measures for Cataract Surgery Codes
The table lists codes related to G0913. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0659-HCPCS | Low | Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem), excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes |
| G0913-HCPCS | Low | Improvement in visual function achieved within 90 days following cataract surgery |
| G0914-HCPCS | Low | Patient care survey was not completed by patient |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0913. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0913 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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