HCPCS S9124 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary National Codes (Non-Medicare) • Miscellaneous Supplies and Services |
| Common Place of Service | • None • 99 - Other POS |
| Complexity Level | Low |
National average reimbursement for HCPCS S9124 by major payers:

$46.47

$39.50

$33.30

$23.67
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS S9124 | ||||||
United | S9124 | $37.50 | 1740752997 - PINE STREET HEALTHCARE PARTNERS, LLC, PRIME HOME HEALTH | 880331062 - (CA) AMERICAN UNITED HOME CARE | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1295870228 - PASADENA HOME HEALTH CARE | 611407441 - (CA) PASADENA HOME HEALTH CARE | CA | Home Health Agency (251E00000X) |
United | S9124 | $52.50 | 1457735748 - MOHAVE HEALTHCARE, INC., RIVER VALLEY HOME HEALTH | 474361783 - MOHAVE HEALTHCARE INC | CA | Home Health Agency (251E00000X) |
United | S9124 | $65.00 | 1306069737 - ADVANCED HOME HEALTH INC | 208811790 - (CA) ADVANCED HOME HEALTH AND HOSPICE, INC. | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1841329273 - CALIFORNIAS BEST HOME HEALTH SERVICES, INC | 208400782 - (CA) CALIFORNIAS BEST HOME HEALTH SERVICES INC | CA | Home Health Agency (251E00000X) |
United | S9124 | $70.00 | 1972809838 - CAREONE HOME HEALTH AND HOSPICE, INC. | 274503248 - (CA) CAREONE HOME HEALTH & HOSPICE, INC. | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1437135977 - VALLEY HOME HEALTH, INC. | 731629294 - (CA) VALLEY HOME HEALTH INC | CA | Home Health Agency (251E00000X) |
United | S9124 | $62.50 | 1992048508 - SOUTH SPRINGS HOME HEALTH CARE, INC. | 611628431 - (CA) SOUTH SPRINGS HOME HEALTH CARE INC | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1134306970 - PREMIER HEALTHCARE SERVICES, LLC, AVEANNA HEALTHCARE | 204078036 - PREMIER HEALTHCARE SERVICES, LLC | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1083609853 - PRIORITY ONE HOME HEALTH SERVICES INC | 330910675 - (CA) PRIORITY ONE HOME HEALTH CARE | CA | Home Health Agency (251E00000X) |
United | S9124 | $50.00 | 1104136548 - AMARA HOME HEALTH, LLC, BRIDGE HOME HEALTH BAY AREA | 273665086 - (CA) AMARA HOME HEALTH LLC | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1497880645 - A TO Z HOME HEALTH, INC. | 205622212 - (CA) A TO Z HOME HEALTH INC | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1740699180 - PARENTIS HOME HEALTH CARE, INC., PARENTIS HOME HEALTH | 471556314 - (CA) PARENTIS HOME HEALTH CARE INC | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1609853142 - HERALDS HOME HEALTH | 161638796 - (CA) HERALDS HOME HEALTH | CA | Home Health Agency (251E00000X) |
United | S9124 | $45.00 | 1619900693 - INTEGRITY HOME CARE CORPORATION | 760738204 - (CA) INTEGRITY HOME CARE CORPORATION | CA | Home Health Agency (251E00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS S9124 vs. Other Miscellaneous Supplies and Services Codes
The HCPCS S9124 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 S9124 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 |
|---|---|---|
| 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 |
| S9125-HCPCS | Moderate | Respite care, in the home, per diem |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S9124. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S9124 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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