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See a sample rate comparisonHCPCS M1010 Fee Schedule
HCPCS M1010 is classified under Screening Procedures, in the Evaluation AND Assessment subgroup.
Discharge/discontinuation of the episode of care documented in the medical record
| Key Fact | Detail |
|---|---|
| Service Type | Screening Procedures Evaluation AND Assessment |
| Complexity Level | Low |
National average reimbursement for HCPCS M1010 by major payers:
$71.56
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$0.00
Cigna
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HCPCS M1010
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Payer Contract Negotiation
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See a sample payer proposalHCPCS M1010 vs. Other Evaluation AND Assessment Codes
The table lists codes related to M1010. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| M1009-HCPCS | Low | Discharge/discontinuation of the episode of care documented in the medical record |
| M1010-HCPCS | Low | Discharge/discontinuation of the episode of care documented in the medical record |
| M1011-HCPCS | Low | Discharge/discontinuation of the episode of care documented in the medical record |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS M1010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the M1010 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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