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See a sample rate comparisonHCPCS G2180 Fee Schedule
HCPCS G2180 is classified under Procedures / Professional Services, in the Clinician Documentation and Management Services subgroup.
Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Clinician Documentation and Management Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G2180 by major payers:
$71.25
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$0.00
Cigna
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HCPCS G2180
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2180 vs. Other Clinician Documentation and Management Services Codes
The table lists codes related to G2180. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2179-HCPCS | Low | Clinician documented that patient had medical reason for not performing lower extremity neurological exam |
| G2180-HCPCS | Low | Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee |
| G2181-HCPCS | Low | Bmi not documented due to medical reason or patient refusal of height or weight measurement |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2180 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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