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See a sample rate comparisonHCPCS G9818 Fee Schedule
HCPCS G9818 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Documentation of sexual activity
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9818 by major payers:
$72.03
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9818
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See a sample payer proposalHCPCS G9818 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9818. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9813-HCPCS | Low | Patient did not die within 30 days of the procedure or during the index hospitalization |
| G9818-HCPCS | Low | Documentation of sexual activity |
| G9819-HCPCS | Low | Patients who use hospice services any time during the measurement period |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9818. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9818 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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