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See a sample rate comparisonHCPCS G8427 Fee Schedule
HCPCS G8427 is classified under Procedures / Professional Services, in the Additional Quality Measures subgroup.
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8427 by major payers:
$52.75
BCBS / Anthem
$34.60
UnitedHealthcare
$0.02
Aetna
$0.85
Cigna
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HCPCS G8427
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See a sample payer proposalHCPCS G8427 vs. Other Additional Quality Measures Codes
The table lists codes related to G8427. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8421-HCPCS | Low | BMI not documented and no reason is given |
| G8427-HCPCS | Low | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
| G8428-HCPCS | Low | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8427. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8427 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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