HCPCS S2112 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Miscellaneous Provider Services and Supplies |
| Common Place of Service | None 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for S2112 |
National average reimbursement for HCPCS S2112 by major payers:
$1,092.89
$1,515.41
$459.91
$762.83
HCPCS S2112 vs. Other Miscellaneous Provider Services and Supplies Codes
The HCPCS S2112 code is part of the Temporary National Codes (Non-Medicare) services used for Miscellaneous Provider Services and Supplies. 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 S2112 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 |
|---|---|---|
| S2107-HCPCS | Low | Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment |
| S2112-HCPCS | High | Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) |
| S2115-HCPCS | High | Osteotomy, periacetabular, with internal fixation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S2112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S2112 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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