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See a sample rate comparisonHCPCS G9910 Fee Schedule
HCPCS G9910 is classified under Procedures / Professional Services, in the Other Geriatric care Management subgroup.
Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Geriatric care Management |
| Complexity Level | Low |
National average reimbursement for HCPCS G9910 by major payers:
$63.44
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9910
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See a sample payer proposalHCPCS G9910 vs. Other Other Geriatric care Management Codes
The table lists codes related to G9910. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9908-HCPCS | Low | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
| G9910-HCPCS | Low | Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
| G9911-HCPCS | Low | Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9910. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9910 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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