HCPCS Q0081 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 Q0081 by major payers:
$52.97
$33.63
$20.03
$28.00
| 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 Q0081 | ||||||
United | Q0081 | $49.88 | 1992142996 - ELAINE VO | 752616977 - CHRISTUS TRINITY CLINIC | TX | Surgical Oncology Physician (2086X0206X) |
United | Q0081 | $57.27 | 1033357991 - CHARLES HSU | 942958258 - BANNER-UNIVERSITY MEDICAL GROUP | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0081 | $22.79 | 1619947421 - MOHAMMAD RIAZ | 841668631 - (TX) PREMIER ONCOLOGY CONSULTANTS PA | TX | Medical Oncology Physician (207RX0202X) |
United | Q0081 | $120.44 | 1811315443 - FUMIKO CHINO | 593801080 - JAMIE J VOCCOLA / MEMORIAL SLOAN KETTERING CANCER CENTER AT BASKING RIDGE NEW JERSEY / WOODHULL MEDICAL AND MENTAL HEALTH CENTER | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0081 | $37.66 | 1720089451 - KIRK KANADY | 760567660 - (TX) GREATER HOUSTON RADIATION ONCOLOGY, P.A. | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0081 | $46.61 | 1255569620 - JENNIFER TRAN | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0081 | $38.08 | 1649680612 - DAVID MCCALL | 760459500 - U T PHYSICIANS | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0081 | $44.38 | 1265426282 - MURALIDHAR BEERAM | 742915297 - (TX) SOUTH TEXAS ONCOLOGY AND HEMATOLOGY PLLC | TX | Medical Oncology Physician (207RX0202X) |
United | Q0081 | $59.27 | 1760441430 - LYNN CANAVAN | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Surgical Oncology Physician (2086X0206X) |
United | Q0081 | $45.86 | 1194713248 - FRED HARDWICKE | 751228349 - BOOKER HOSPITAL DISTRICT / CHILDRESS COUNTY HOSPITAL DISTRICT / CHILDRESS REGIONAL MEDICAL CENTER | TX | Medical Oncology Physician (207RX0202X) |
United | Q0081 | $33.77 | 1932140159 - ERIC KLEINBAUM | 824681345 - AMERICAN ONCOLOGY PARTNERS PA / ARIZONA ONCOLOGY ASSOCIATES PC / CENTRAL GEORGIA CANCER CARE PC | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0081 | $41.36 | 1659715357 - NATASHA HIRANI | 300520570 - (TX) METHODIST HOSPITAL | TX | Medical Oncology Physician (207RX0202X) |
United | Q0081 | $64.22 | 1457770497 - JULIO ALVARENGA THIEBAUD | 756002868 - ABKSW PREFERRED HEALTH PARTNERS PLLC / ACTION FAMILY CARE PLLC / ADAM S MINER MD PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0081 | $59.27 | 1497921134 - JESSAMY BOYD | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0081 | $62.38 | 1407826605 - KIRSTEN WARHOE | 370661223 - METHODIST MEDICAL CENTER OF ILLINOIS | TX | Radiation Oncology Physician (2085R0001X) |
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 Q0081 vs. Other Miscellaneous Drugs and Tests Codes
The HCPCS Q0081 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 Q0081 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 |
| Q0083-HCPCS | Low | Chemotherapy administration by other than infusion technique only e.g., subcutaneous, intramuscular, push), 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 Q0081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0081 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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