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See a sample rate comparisonHCPCS G9887 Fee Schedule
Last Verified: September 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.
Behavioral counseling for diabetes prevention, distance learning, 60 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9887 by major payers:
$51.70
$43.65
$17.49
$34.15
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HCPCS G9887
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$55.00Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$37.58Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$31.95Published rateJulie Webster
Musc Community Physicians
$27.50Published rateCindy Chang
Miguel A Arenas Md PC
$19.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9887 vs. Other Additional Assorted Quality Measures Codes
The HCPCS G9887 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 G9887 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 |
|---|---|---|
| G9887-HCPCS | Low | Behavioral counseling for diabetes prevention, distance learning, 60 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9887. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9887 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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