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See a sample rate comparisonHCPCS S9129 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.
Occupational 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 | $101.42 median of the 3 states in the free preview · View Medicaid rates for S9129 |
National average reimbursement for HCPCS S9129 by major payers:
$122.63
$101.68
$43.65
$384.49
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HCPCS S9129
5 of 25 sample ratesHigher to lower in this preview
Tbhl Inc, American Home Care
Tbhl Inc
$130.00Published rateKdt, LLC, Kids Developmental Therapy
Kdt, LLC
$100.00Published rateMetro Care Team LLC, Metro Care Services
Metro Care Team LLC
$90.00Published rateHealthprov L.L.C., Superior Nursing Care
Healthprov LLC
$90.00Published rateAll-Valley Home Health, Inc.
Allvalley Home Health Inc
$90.00Published rate
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See a sample payer proposalHCPCS S9129 vs. Other Miscellaneous Supplies and Services Codes
The HCPCS S9129 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 S9129 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 |
|---|---|---|
| S9128-HCPCS | Low | Speech therapy, in the home, per diem |
| S9129-HCPCS | Low | Occupational therapy, in the home, per diem |
| S9131-HCPCS | Low | Physical 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 S9129. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S9129 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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