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See a sample rate comparisonHCPCS S9128 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.
Speech therapy, in the home, per diem
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Miscellaneous Supplies and Services |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | $84.00 median of the 3 states in the free preview · View Medicaid rates for S9128 |
National average reimbursement for HCPCS S9128 by major payers:
$116.47
$101.74
$44.15
$102.12
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HCPCS S9128
5 of 25 sample ratesHigher to lower in this preview
Rx Staffing And Home Care Inc, Rx Staffing Hospice Care
$175.00Published rateAdvanced Home Health Inc
$175.00Published rateProhealth Home Care, Inc
$163.00Published rateTender Loving Care Health Care Services Western, LLC, Amedisys Home Health Care
$150.00Published ratePremier Healthcare Services, LLC, Aveanna Healthcare
$110.00Published rate
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See a sample payer proposalHCPCS S9128 vs. Other Miscellaneous Supplies and Services Codes
The HCPCS S9128 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 S9128 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 |
|---|---|---|
| S9127-HCPCS | Low | Social work visit, in the home, per diem |
| S9128-HCPCS | Low | Speech therapy, in the home, per diem |
| S9129-HCPCS | Low | Occupational therapy, 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 S9128. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S9128 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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