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HCPCS S8210 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.

Mucus trap
Key FactDetail
Service Type

Temporary National Codes (Non-Medicare)

Assisted Breathing Supplies

Common Place of Service

None

99 - Other POS

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for S8210

National average reimbursement for HCPCS S8210 by major payers:

bcbs

$9.85

uhc

$30.81

aetna

$3.16

cigna

$4.70

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HCPCS S8210

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HCPCS S8210 vs. Other Assisted Breathing Supplies Codes

The HCPCS S8210 code is part of the Temporary National Codes (Non-Medicare) services used for Assisted Breathing 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 S8210 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.

CodeComplexityDescription
S8189-HCPCSLowTracheostomy supply, not otherwise classified
S8210-HCPCSLowMucus trap
S8265-HCPCSLowHaberman feeder for cleft lip/palate

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S8210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the S8210 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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