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See a sample rate comparisonHCPCS G9480 Fee Schedule
HCPCS G9480 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Admission to medicare care choice model program (MCCM)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
National average reimbursement for HCPCS G9480 by major payers:
$69.94
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9480
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See a sample payer proposalHCPCS G9480 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9480. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G9479-HCPCS | Services performed by qualified pharmacist in the hospice setting, each 15 minutes |
| G9480-HCPCS | Admission to medicare care choice model program (MCCM) |
| G9481-HCPCS | Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9480. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9480 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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