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See a sample rate comparisonHCPCS G8648 Fee Schedule
HCPCS G8648 is classified under Procedures / Professional Services, in the Quality Measures Related for Risk-adjusted Functional Status Scoring subgroup.
Residual score for the knee impairment successfully calculated and the score was less than zero (< 0)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Quality Measures Related for Risk-adjusted Functional Status Scoring |
| Complexity Level | Low |
National average reimbursement for HCPCS G8648 by major payers:
$72.31
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G8648
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See a sample payer proposalHCPCS G8648 vs. Other Quality Measures Related for Risk-adjusted Functional Status Scoring Codes
The table lists codes related to G8648. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8647-HCPCS | Low | Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) |
| G8648-HCPCS | Low | Residual score for the knee impairment successfully calculated and the score was less than zero (< 0) |
| G8650-HCPCS | Low | Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge, 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 G8648. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8648 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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