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See a sample rate comparisonHCPCS G8511 Fee Schedule
HCPCS G8511 is classified under Procedures / Professional Services, in the Additional Quality Measures subgroup.
Screening for depression documented as positive, follow-up plan not documented, reason not given
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Quality Measures |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G8511 |
National average reimbursement for HCPCS G8511 by major payers:
$61.37
BCBS / Anthem
$54.00
UnitedHealthcare
$0.03
Aetna
$1.16
Cigna
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HCPCS G8511
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G8511 vs. Other Additional Quality Measures Codes
The table lists codes related to G8511. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8510-HCPCS | Low | Screening for depression is documented as negative, a follow-up plan is not required |
| G8511-HCPCS | Low | Screening for depression documented as positive, follow-up plan not documented, reason not given |
| G8535-HCPCS | Low | Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter related to one of the following reasons: (1) patient refuses to participate in the screening and has reasonable decisional capacity for self-protection, or (2) patient is in an urgent or emergent situation where time is of the essence and to delay treatment to perform the screening would jeopardize the patient's health status |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8511 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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