HCPCS Q0035 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary Codes • Miscellaneous Drugs and Tests |
| Complexity Level | Low |
National average reimbursement for HCPCS Q0035 by major payers:
$22.17
$25.19
$20.75
$19.13
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS Q0035 | ||||||
United | Q0035 | $70.76 | 1912086943 - MOSHE MAOR | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0035 | $20.59 | 1053579490 - ARLENE GARCIA-SOTO | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Gynecologic Oncology Physician (207VX0201X) |
United | Q0035 | $46.90 | 1811975063 - BRIAN ULRICH | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | Q0035 | $70.76 | 1245529429 - SANGEETA GOSWAMI | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Medical Oncology Physician (207RX0202X) |
United | Q0035 | $62.70 | 1700166543 - NITYA GULATI | 131623978 - ANDROLOGY LAB / BRISTOL DIABETES ENDOCRINOLOGY / CARDIOTHORACIC SURGERY PC | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0035 | $21.82 | 1700852068 - E. JOHN R. SAMUEL, MD, PA | 760207322 - (TX) E JOHN R SAMUEL MD PA | TX | Hematology (Internal Medicine) Physician (207RH0000X) |
United | Q0035 | $12.85 | 1700071008 - SHRAVAN NARMALA | 611604897 - CLINICAL COLLEAGUES INC / DAVID J GRAY PC / EXPRESS PSYCH LLC | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $70.76 | 1336155662 - AVI MARKOWITZ | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Medical Oncology Physician (207RX0202X) |
United | Q0035 | $46.90 | 1730370875 - SCOTT SEALS | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | Q0035 | $20.38 | 1366601924 - LAURA TENNER | 470785575 - (NE) UNMC PHYSICIANS | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $33.15 | 1215146386 - ALKA MALLIK | 201872200 - (VA) PENINSULA CANCER INSTITUTE LLC | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $17.21 | 1447469150 - ESTHER URBAEZ DURAN | 742959210 - (TX) GMG HEALTH SYSTEMS ASSOCIATES PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $14.89 | 1336155662 - AVI MARKOWITZ | 760010407 - CENTRAL NEW YORK BRAIN SPINE NEUROSURGERY PLLC / ELIZABETH GORDON MD PA / UNIVERSITY OF TEXAS MEDICAL BRANCH | TX | Medical Oncology Physician (207RX0202X) |
United | Q0035 | $10.88 | 1568435774 - BRAZOS RADIATION ONCOLOGY, P.A. | 752282409 - (TX) BRAZOS RADIATION ONCOLOGY PA | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0035 | $15.22 | 1760819304 - NOSHA FARHADFAR | 262400924 - (TX) CARDIOLOGY CLINIC OF SAN ANTONIO PLLC / CHILDRENS CRITICAL CARE SPECIALISTS PLLC / EDWARD E HORVATH DO PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS Q0035 vs. Other Miscellaneous Drugs and Tests Codes
The HCPCS Q0035 code is part of the Temporary Codes services used for Miscellaneous Drugs and Tests. 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 Q0035 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 |
|---|---|---|
| Q0035-HCPCS | Low | Cardiokymography |
| Q0081-HCPCS | Low | Infusion therapy, using other than chemotherapeutic drugs, per visit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0035 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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