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See a sample rate comparisonHCPCS G2169 Fee Schedule
HCPCS G2169 is classified under Procedures / Professional Services, in the Therapy Maintenance Program in Home Health Setting subgroup.
Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Therapy Maintenance Program in Home Health Setting |
| Complexity Level | Low |
National average reimbursement for HCPCS G2169 by major payers:
$40.63
BCBS / Anthem
$N/A
UnitedHealthcare
$208.83
Aetna
$N/A
Cigna
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HCPCS G2169
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2169 vs. Other Therapy Maintenance Program in Home Health Setting Codes
The table lists codes related to G2169. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2168-HCPCS | Low | Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program, each 15 minutes |
| G2169-HCPCS | Low | Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program, each 15 minutes |
| G2172-HCPCS | Low | All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2169. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2169 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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