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See a sample rate comparisonHCPCS P9603 Fee Schedule
Last Verified: October 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.
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Services Specimen Collection, Travel Allowance |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for P9603 |
National average reimbursement for HCPCS P9603 by major payers:
$1.04
$1.28
$0.95
$0.68
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HCPCS P9603
5 of 25 sample ratesHigher to lower in this preview
Elizabeth Cooley
Slocum Dickson Medical Group PLLC
$1.64Published rateRamesh Cherukuri
Slocum Dickson Medical Group PLLC
$1.64Published rateShawna Lee
Slocum Dickson Medical Group PLLC
$1.41Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$1.11Published rateBrittany Ptachick
Hroa 401k Plan
$0.67Published rate
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See a sample payer proposalHCPCS P9603 vs. Other Specimen Collection, Travel Allowance Codes
The HCPCS P9603 code is part of the Pathology and Laboratory Services services used for Specimen Collection, Travel Allowance. 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 P9603 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 |
|---|---|---|
| P9100-HCPCS | Low | Pathogen(s) test for platelets |
| P9603-HCPCS | Low | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
| P9604-HCPCS | Low | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9603. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P9603 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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