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See a sample rate comparisonHCPCS G2147 Fee Schedule
HCPCS G2147 is classified under Procedures / Professional Services, in the Functional Status subgroup.
Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Functional Status |
| Complexity Level | Low |
National average reimbursement for HCPCS G2147 by major payers:
$71.25
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$0.00
Cigna
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HCPCS G2147
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2147 vs. Other Functional Status Codes
The table lists codes related to G2147. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2146-HCPCS | Low | Leg pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater |
| G2147-HCPCS | Low | Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated improvement of less than 5.0 points |
| G2148-HCPCS | Low | Multimodal pain management was used |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2147. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2147 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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