HCPCS G9883 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 16-18.

Key Fact	Detail
Service Type	• Procedures / Professional Services • Additional Assorted Quality Measures
Complexity Level	Low

National average reimbursement for HCPCS G9883 by major payers:

$64.06

$64.11

$49.37

$53.41

Preview provider-level rates for...

For billing codeHCPCS G9883

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS G9883
United	G9883	$85.00	1396770004 - HOSPITAL AUTHORITY OF WASHINGTON COUNTY, WASHINGTON COUNTY REGIONAL MEDICAL CENTER	814817422	GA	Rural Acute Care Hospital (282NR1301X)
United	G9883	$101.11	1598964082 - EMORY HEALTHCARE	582030692 - EMORY UNIVERSITY	GA	General Acute Care Hospital (282N00000X)
United	G9883	$69.16	1053515130 - MIGUEL A. ARENAS, M.D., PC	300394179 - (AZ) MIGUEL A ARENAS MD PC	AZ	Gastroenterology Physician (207RG0100X)
United	G9883	$109.20	1073502985 - CHU CHEN	42484572	MA	Pediatrics Physician (208000000X)
United	G9883	$57.20	1396769964 - JULIE WEBSTER	853861695 - MUSC COMMUNITY PHYSICIANS	SC	Body Imaging Physician (2085B0100X)
United	G9883	$139.88	1033165865 - DAVID EPSTEIN	462439952 - (FL) BREVARD PHYSICIAN ASSOCIATES, PLLC	FL	Diagnostic Radiology Physician (2085R0202X)
United	G9883	$94.46	1730385618 - CABRINI SUTHERLAND	561026666 - SURGICAL SPECIALISTS OF CHARLOTTE, PA	NC	Surgical Critical Care Physician (2086S0102X)
United	G9883	$98.45	1033165865 - DAVID EPSTEIN	591212948 - (FL) RADIOLOGY ASSOCIATES OF CLEARWATER, P.A.	FL	Diagnostic Radiology Physician (2085R0202X)
United	G9883	$100.00	1194779702 - JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.	580566121 - JOHN D ARCHBOLD MEMORIAL HOSPITAL INC	GA	General Acute Care Hospital (282N00000X)
United	G9883	$74.26	1922178789 - SCOTTISH RITE CHILDRENS MEDICAL CTR, CHILDREN'S HEALTHCARE OF ATLANTA AT SCOTTISH RITE	580572465 - CHILDRENS HEALTHCARE OF ATLANTA INC	GA	Children's Hospital (282NC2000X)
United	G9883	$114.40	1073502985 - CHU CHEN	42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.	MA	Pediatrics Physician (208000000X)
United	G9883	$57.20	1396769964 - JULIE WEBSTER	853861695 - MUSC COMMUNITY PHYSICIANS	SC	Body Imaging Physician (2085B0100X)
United	G9883	$56.00	1255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN	581685139 - (GA) THE MEDICAL CENTER INC	GA	General Acute Care Hospital (282N00000X)
United	G9883	$41.79	1548859895 - ALICIA ENCINAS	300394179 - (AZ) MIGUEL A ARENAS MD PC	CA	Family Nurse Practitioner (363LF0000X)
United	G9883	$118.94	1396923710 - EMORY UNIVERSITY HOSPITAL	582030692 - EMORY UNIVERSITY	GA	General Acute Care Hospital (282N00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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HCPCS G9883 vs. Other Additional Assorted Quality Measures Codes

The HCPCS G9883 code is part of the Procedures / Professional Services services used for Additional Assorted Quality Measures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS G9883 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
G9882-HCPCS	Low	Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 13-15.
G9883-HCPCS	Low	Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 16-18.
G9884-HCPCS	Low	Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 19-21 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 19-21.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9883. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G9883 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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