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See a sample rate comparisonHCPCS S9123 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.
Nursing care, in the home; by registered nurse, 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 | $63.67 median of the 5 states in the free preview · View Medicaid rates for S9123 |
National average reimbursement for HCPCS S9123 by major payers:
$61.09
$54.21
$36.31
$37.09
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HCPCS S9123
5 of 25 sample ratesHigher to lower in this preview
Alars Home Health, LLC
$150.00Published rateProhealth Home Care Inc
$77.50Published rateCalifornia Healthcare Management Group, Inc
California Healthcare Management Group Inc
$70.00Published rateGreen Pine Home Health Care Services, Inc
Green Pine Home Health Care Services, Inc.
$57.50Published rateH & M Health Services Inc.
H M Health Services Inc
$45.00Published rate
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See a sample payer proposalHCPCS S9123 vs. Other Miscellaneous Supplies and Services Codes
The HCPCS S9123 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 S9123 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 |
|---|---|---|
| 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 |
| S9124-HCPCS | Low | Nursing care, in the home; by licensed practical 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 S9123. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S9123 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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