HCPCS Q0092 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 Q0092 by major payers:
$31.46
$27.75
$23.48
$28.19
| 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 Q0092 | ||||||
United | Q0092 | $34.06 | 1336155662 - AVI MARKOWITZ | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Medical Oncology Physician (207RX0202X) |
United | Q0092 | $58.88 | 1154440501 - SAM WANG | 756002868 - ABKSW PREFERRED HEALTH PARTNERS PLLC / ACTION FAMILY CARE PLLC / ADAM S MINER MD PA | TX | Surgical Oncology Physician (2086X0206X) |
United | Q0092 | $24.88 | 1215242383 - ERIKA LOPEZ BERTIERY | 752668018 - (TX) ANESTHESIA ASSOCIATES OF EL PASO PA / CHAMIZAL EMERGENCY PHYSICIANS PLLC / DIAGNOSTIC OUTPATIENT IMAGING PARTNERSHIP LTD | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0092 | $32.15 | 1154369775 - DEMETRIUS LOUKAS | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | Q0092 | $34.06 | 1932102126 - NAJAT DAW | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0092 | $58.88 | 1316173610 - SAWSAN RASHDAN | 756002868 - ABKSW PREFERRED HEALTH PARTNERS PLLC / ACTION FAMILY CARE PLLC / ADAM S MINER MD PA | TX | Medical Oncology Physician (207RX0202X) |
United | Q0092 | $55.97 | 1285844092 - DARSHAN GANDHI | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0092 | $34.06 | 1508357468 - JULIANNA BRONK | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0092 | $31.71 | 1649275355 - MICHAEL ASHIGBI | 752931720 - ETMC PHYSICIAN GROUP INC / EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION / UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0092 | $28.70 | 1346533809 - TRINH NGUYEN | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0092 | $55.97 | 1144262023 - MANISH GUPTA | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Medical Oncology Physician (207RX0202X) |
United | Q0092 | $46.02 | 1790041085 - ALISON BARRON | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Surgical Oncology Physician (2086X0206X) |
United | Q0092 | $100.55 | 1790944023 - DANIEL GOMEZ | 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 | Q0092 | $34.06 | 1104182609 - RYAN HUEY | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Hematology (Internal Medicine) Physician (207RH0000X) |
United | Q0092 | $55.97 | 1831577436 - ANTOINETTE MATTHEWS | 752131429 - US ONCOLOGY CORPORATE, INC. | 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 Q0092 vs. Other Miscellaneous Drugs and Tests Codes
The HCPCS Q0092 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 Q0092 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 |
|---|---|---|
| Q0091-HCPCS | Low | Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
| Q0092-HCPCS | Low | Set-up portable X-ray equipment |
| Q0111-HCPCS | Low | Wet mounts, including preparations of vaginal, cervical or skin specimens |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0092. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0092 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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