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See a sample rate comparisonHCPCS G0916 Fee Schedule
HCPCS G0916 is classified under Procedures / Professional Services, in the Quality Measures for Cataract Surgery subgroup.
Satisfaction with care 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 G0916 by major payers:
$64.41
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$0.00
Cigna
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HCPCS G0916
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0916 vs. Other Quality Measures for Cataract Surgery Codes
The table lists codes related to G0916. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0915-HCPCS | Low | Improvement in visual function not achieved within 90 days following cataract surgery |
| G0916-HCPCS | Low | Satisfaction with care achieved within 90 days following cataract surgery |
| G0917-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 G0916. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0916 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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