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See a sample rate comparisonHCPCS S8948 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.
Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Miscellaneous Supplies and Services |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center None |
| Complexity Level | Low |
National average reimbursement for HCPCS S8948 by major payers:
$53.59
$12.41
$21.77
$26.70
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HCPCS S8948
4 of 4 sample ratesHigher to lower in this preview
Buffalo Rehab Group Physical Therapy And Occupational Therapy PC
Buffalo Rehab Group
$16.00Published rateBuffalo Rehab Group Physical Therapy And Occupational Therapy PC
Buffalo Rehab Group
$16.00Published rateBuffalo Rehab Group Physical Therapy And Occupational Therapy PC
Buffalo Rehab Group
$16.00Published rateBuffalo Rehab Group Physical Therapy And Occupational Therapy PC
Buffalo Rehab Group
$16.00Published rate
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See a sample payer proposalHCPCS S8948 vs. Other Miscellaneous Supplies and Services Codes
The HCPCS S8948 code is part of the Temporary National Codes (Non-Medicare) services used for Miscellaneous Supplies and Services. 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 S8948 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 |
|---|---|---|
| S8940-HCPCS | Low | Equestrian/hippotherapy, per session |
| S8948-HCPCS | Low | Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes |
| S8950-HCPCS | Low | Complex lymphedema therapy, each 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S8948. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S8948 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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