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See a sample rate comparisonHCPCS S9122 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.
Home health aide or certified nurse assistant, providing care in the home; per hour
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Miscellaneous Supplies and Services |
| Common Place of Service | 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | $22.675 median of the 2 states in the free preview · View Medicaid rates for S9122 |
National average reimbursement for HCPCS S9122 by major payers:
$29.94
$22.52
$17.72
$30.87
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HCPCS S9122
5 of 25 sample ratesHigher to lower in this preview
Tahoe Forest Hospital District, Tahoe Forest Home Health
Tahoe Forest Hospital District
$37.00Published rateAdvanced Home Health Inc
Advanced Home Health And Hospice, Inc.
$35.00Published rateValley Medical Systems, Inc., Valley Home Health
Valley Medical Systems, Inc.
$30.00Published rateGidda'S Home Health Services, Inc.
Giddas Home Health Services Inc
$25.00Published rateCuring Hands Home Health Inc
$21.00Published rate
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See a sample payer proposalHCPCS S9122 vs. Other Miscellaneous Supplies and Services Codes
The HCPCS S9122 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 S9122 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 |
|---|---|---|
| S9117-HCPCS | Low | Back school, per visit |
| S9122-HCPCS | Low | Home health aide or certified nurse assistant, providing care in the home; per hour |
| S9123-HCPCS | Low | Nursing care, in the home; by registered nurse, per hour |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S9122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S9122 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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