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 |
| CMS | $21.35 Physician Fee Schedule |
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 | $15.30 | 1821475138 - DIVYA ASTI | 742915297 - (TX) SOUTH TEXAS ONCOLOGY AND HEMATOLOGY PLLC | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $17.57 | 1619203403 - MUHAMMAD BUTT | 352513001 - (TX) SURGERY ASSOCIATES OF NORTH TEXAS P A / SURGERY ASSOCIATES OF NTX PLLC / VASCULAR CARE OF TEXAS PLLC | TX | Surgical Oncology Physician (2086X0206X) |
United | Q0035 | $27.93 | 1215929518 - LARRY CARPENTER | 741613878 - (TX) BAYLOR COLLEGE OF MEDICINE | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0035 | $33.00 | 1508828971 - MARISA SANDERA | 742915297 - (TX) SOUTH TEXAS ONCOLOGY AND HEMATOLOGY PLLC | 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 | $26.89 | 1386105831 - ASHLEY ARMS | 752600873 - SHANNON CLINIC | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0035 | $21.42 | 1346533809 - TRINH NGUYEN | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0035 | $20.59 | 1033309240 - VIKAS AURORA | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $9.40 | 1962474403 - MARTA DAHIYA | 352526373 - ACCLAIM PHYSICIAN GROUP INC | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0035 | $20.59 | 1881666477 - HABTE YIMER | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $21.07 | 1194713248 - FRED HARDWICKE | 751228349 - BOOKER HOSPITAL DISTRICT / CHILDRESS COUNTY HOSPITAL DISTRICT / CHILDRESS REGIONAL MEDICAL CENTER | TX | Medical Oncology Physician (207RX0202X) |
United | Q0035 | $11.68 | 1508813247 - LALITHA JANAKI | 454951682 - BRIAN D SHANNON MD ADVANCED SPINE AND ORTHOPAEDICS LLC / DAVID J DUNCH M D INC / DR MUNIR AHMAD MD LTD | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0035 | $12.40 | 1063428126 - KATHLEEN CROWLEY | 352526373 - ACCLAIM PHYSICIAN GROUP INC | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0035 | $16.93 | 1487942736 - RACHEL KACZYNSKI | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Surgical Oncology Physician (2086X0206X) |
United | Q0035 | $13.02 | 1194713248 - FRED HARDWICKE | 751228349 - BOOKER HOSPITAL DISTRICT / CHILDRESS COUNTY HOSPITAL DISTRICT / CHILDRESS REGIONAL MEDICAL CENTER | TX | Medical Oncology Physician (207RX0202X) |
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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