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 |
| CMS | $25.88 Physician Fee Schedule |
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 | $24.61 | 1104850486 - AMY LANG | 742915297 - (TX) SOUTH TEXAS ONCOLOGY AND HEMATOLOGY PLLC | TX | Medical Oncology Physician (207RX0202X) |
United | Q0092 | $114.97 | 1811315443 - FUMIKO CHINO | 320577172 - (NY) MSK RALPH LAUREN CENTER | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0092 | $32.15 | 1346602505 - ADARSH SIDDA | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0092 | $178.94 | 1346291465 - JOSEPH HERMAN | 453023019 - NORTH SHORE-LIJ MEDICAL PC | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0092 | $31.42 | 1164609517 - SUSIE CHEN | 200749625 - (HI) PACIFIC RADIATION ONCOLOGY LLC | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0092 | $33.95 | 1043467806 - AKILA MUTHUKUMAR | 760010407 - CENTRAL NEW YORK BRAIN SPINE NEUROSURGERY PLLC / ELIZABETH GORDON MD PA / UNIVERSITY OF TEXAS MEDICAL BRANCH | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | Q0092 | $46.02 | 1467744391 - ATHIRA UNNIKRISHNAN | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0092 | $40.97 | 1003001462 - MICHAL WOLSKI | 752536818 - HEALTHTEXAS PROVIDER NETWORK | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0092 | $28.22 | 1588910491 - LAURA MEZA RIOS | 160743134 - ROCHESTER GENERAL HOSPITAL | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0092 | $16.26 | 1376836718 - ALBERTO PARRA | 752512142 - (TX) ONCOLOGYHEMATOLOGY CONSULTANTS PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0092 | $46.02 | 1790041085 - ALISON BARRON | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Surgical Oncology Physician (2086X0206X) |
United | Q0092 | $35.72 | 1134392152 - AHMAD GHAFOORI | 881904289 - (TX) TEXAS CANCER INSTITUTE PLLC | TX | Radiation Oncology Physician (2085R0001X) |
United | Q0092 | $45.66 | 1750722260 - ALEJANDRO MARINOS VELARDE | 311405915 - ALLIANCE PRIMARY CARE / DANIEL DRAKE CENTER FOR POSTACUTE CARE LLC / KETTERING INDEPENDENT MEDICAL GROUP INC | TX | Hematology & Oncology Physician (207RH0003X) |
United | Q0092 | $16.26 | 1013955095 - JESSICA HALS | 752512142 - (TX) ONCOLOGYHEMATOLOGY CONSULTANTS PA | TX | Medical Oncology Physician (207RX0202X) |
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 | 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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