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See a sample rate comparisonHCPCS G9276 Fee Schedule
HCPCS G9276 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Documentation that patient is a current tobacco user
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9276 by major payers:
$59.19
BCBS / Anthem
$54.00
UnitedHealthcare
$0.35
Aetna
$0.36
Cigna
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HCPCS G9276
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See a sample payer proposalHCPCS G9276 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9276. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9275-HCPCS | Low | Documentation that patient is a current non-tobacco user |
| G9276-HCPCS | Low | Documentation that patient is a current tobacco user |
| G9277-HCPCS | Low | Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use, allergy to aspirin or anti-platelets, history of gastrointestinal bleed and bleeding disorder; additionally, the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents, documented risk for drug interaction, uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9276. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9276 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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