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See a sample rate comparisonHCPCS G2096 Fee Schedule
HCPCS G2096 is classified under Procedures / Professional Services, in the Functional Status subgroup.
Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not given
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Functional Status |
| Complexity Level | Low |
National average reimbursement for HCPCS G2096 by major payers:
$71.25
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$0.00
Cigna
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HCPCS G2096
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See a sample payer proposalHCPCS G2096 vs. Other Functional Status Codes
The table lists codes related to G2096. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2094-HCPCS | Low | Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g., patient declined, other patient reasons) |
| G2096-HCPCS | Low | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed, reason not given |
| G2097-HCPCS | Low | Episodes where the patient had a competing diagnosis on or within three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, chronic sinusitis, infection of the adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2096. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2096 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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