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See a sample rate comparisonHCPCS Q0513 Fee Schedule
Last Verified: October 2026
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.
Pharmacy dispensing fee for inhalation drug(s); per 30 days
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Pharmacy Supply and Dispensing Fees |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q0513 |
National average reimbursement for HCPCS Q0513 by major payers:
$3.01
$35.66
$32.01
$9.90
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HCPCS Q0513
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$106.58Published rateChu Chen
$69.30Published rateAlicia Encinas
Miguel A Arenas Md PC
$43.88Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$35.63Published rateCindy Chang
Miguel A Arenas Md PC
$25.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS Q0513 vs. Other Pharmacy Supply and Dispensing Fees Codes
The HCPCS Q0513 code is part of the Temporary Codes services used for Pharmacy Supply and Dispensing Fees. 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 Q0513 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 |
|---|---|---|
| Q0512-HCPCS | Low | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
| Q0513-HCPCS | Low | Pharmacy dispensing fee for inhalation drug(s); per 30 days |
| Q0514-HCPCS | Low | Pharmacy dispensing fee for inhalation drug(s); per 90 days |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q0513. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q0513 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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