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See a sample rate comparisonHCPCS S0183 Fee Schedule
Last Verified: September 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.
Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use Q0164)
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Non-Medicare Drug Codes |
| Common Place of Service | None 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for S0183 |
National average reimbursement for HCPCS S0183 by major payers:
$0.36
$0.37
$0.41
$0.39
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HCPCS S0183
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$0.54Published rateWillamette Community Health Solutions, Cascade Health Solutions
Willamette Community Health Solutions
$0.34Published rateLee Davidson
Doctors Emergency Room Corp PC
$0.34Published rateKyle Kurzet
Willamette Community Health Solutions
$0.34Published rateAnn Bowers
Physicians Immediate Care Medical Centers Ps
$0.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS S0183 vs. Other Non-Medicare Drug Codes Codes
The HCPCS S0183 code is part of the Temporary National Codes (Non-Medicare) services used for Non-Medicare Drug Codes. 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 S0183 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 |
|---|---|---|
| S0182-HCPCS | Low | Procarbazine hydrochloride, oral, 50 mg |
| S0183-HCPCS | Low | Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use Q0164) |
| S0187-HCPCS | Low | Tamoxifen citrate, oral, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S0183. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S0183 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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