HCPCS P9612 Fee Schedule

HCPCS P9612 vs. Other Specimen Collection, Catheterization Codes

The HCPCS P9612 code is part of the Pathology and Laboratory Services services used for Specimen Collection, Catheterization. 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 P9612 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.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the P9612 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.