HCPCS S9129 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 • 11 - Office |
| Complexity Level | Low |
National average reimbursement for HCPCS S9129 by major payers:

$122.63

$101.68

$43.65

$384.49
| 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 S9129 | ||||||
United | S9129 | $90.00 | 1912175902 - HEALTHPROV L.L.C., SUPERIOR NURSING CARE | 261808897 - (TX) HEALTHPROV LLC | TX | Home Health Agency (251E00000X) |
United | S9129 | $100.00 | 1205082278 - BREMA HEALTHCARE INC | 264156974 - (TX) BREMA HEALTHCARE INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1801800156 - ST.AGNES HEALTHCARE PROFESSIONALS,INC | 421670124 - (TX) STAGNES HEALTHCARE PROFESSIONALSINC | TX | Case Management Agency (251B00000X) |
United | S9129 | $90.00 | 1063867786 - WORLD HEALTH SERVICES INC. | 432106473 - (TX) WORLD HEALTH SERVICES INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $100.00 | 1184742330 - ELIM HOME HEALTH INC. | 710972348 - (TX) ELIM HOME HEALTH INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $110.00 | 1194760165 - ADVANTAGE PLUS HOMECARE, INC., ADVANTAGE PLUS HOMECARE | 710871549 - (TX) ADVANTAGE PLUS HOMECARE, INC. | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1912234766 - COTTAGE HEALTHCARE SERVICES INC | 271258365 - (TX) COTTAGE HEALTHCARE SERVICES INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $110.00 | 1093809808 - PROGRESSIVE CARE HOME HEALTH, 1ST CHOICE HOME HEALTH | 710871549 - (TX) ADVANTAGE PLUS HOMECARE, INC. | TX | Home Health Agency (251E00000X) |
United | S9129 | $140.00 | 1497754527 - UHS OF TEXOMA, INC, TEXOMA MEDICAL CENTER HOME HEALTH | 205908627 - UHS OF TEXOMA INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1104004837 - ODP MANAGEMENT, LLC, D'ORO PRIMARY HOME CARE SERVICES | 200931354 - (TX) ODP MANAGEMENT LLC | TX | Personal Care Attendant (3747P1801X) |
United | S9129 | $90.00 | 1144263278 - OMNIBUS HOME HEALTH CARE, INC., OMNIBUS HOME HEALTH CARE | 760638072 - (TX) OMNIBUS HOME HEALTH CARE INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1912095720 - ALLTECH HOME HEALTH INC | 30421538 - (TX) ALLTECH HOME HEALTH INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $100.00 | 1144461476 - CORDOVA BAY LLC, CALVERT HOME HEALTH | 263209241 | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1669667150 - ALEGRE HOME HEALTH CARE LLC | 208835734 - (TX) ALEGRE HOME HEALTH CARE LLC | TX | Home Health Agency (251E00000X) |
United | S9129 | $152.00 | 1750545323 - GBA WEST, LLC, CENTERWELL HOME HEALTH | 262944774 - GBA WEST LLC | TX | 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 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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