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 | $111.00 | 1184068033 - MAXUS HEALTHCARE PARTNERS LLC, RENEW HOME HEALTH | 454681583 - (TX) MAXUS HEALTHCARE PARTNERS, LLC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1871514935 - GRACES TLC HOME INC | 710964418 - (TX) GRACES TLC HOME INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1497848915 - METRO CARE TEAM LLC, METRO CARE SERVICES | 412226335 - (TX) METRO CARE TEAM LLC | TX | Home Health Agency (251E00000X) |
United | S9129 | $95.00 | 1083659742 - SPECIALTY WOUND & OSTOMY NURSING, INC. | 760463048 - (TX) SPECIALTY WOUND OSTOMY NURSING INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $110.00 | 1962606368 - MANAGEMENT & BUSINESS ASSOCIATES, INC., RESTORATIVE PEDIATRICS | 742948798 - (TX) MANAGEMENT BUSINESS ASSOCIATES INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1447209432 - AMS A MEDICAL SERVICE, INC., NURSES THAT CARE | 742646915 - (TX) AMS A MEDICAL SERVICE INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1386759082 - AMA ULTIMATE HOME HEALTH SERVICES, INC. | 200345430 - (TX) AMA ULTIMATE HOME HEALTH SERVICES INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $100.00 | 1699718239 - KDT, LLC, KIDS DEVELOPMENTAL THERAPY | 320155152 - (TX) KDT, LLC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1649202870 - ABL HOMEHEALTH SERVICES INC | 201856194 - (TX) ABL HOMEHEALTH SERVICES INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $100.00 | 1093813149 - FRONTVIEW PROVIDER SERVICES INC | 205361764 - (TX) FRONTVIEW PROVIDER SERVICES INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $100.00 | 1922443670 - LAMINA HOME CARE LLC, BORDER HOME CARE OF EL PASO | 462713159 - (TX) LAMINA HOME CARE LLC | TX | Home Health Agency (251E00000X) |
United | S9129 | $120.00 | 1295799856 - HEALTH CONCEPTS HOME HEALTH INC. | 201030588 - (TX) HEALTH CONCEPTS HOME HEALTH INC | TX | Home Health Agency (251E00000X) |
United | S9129 | $90.00 | 1902816788 - P.A.C.E. HEALTH CARE, INC. | 742790879 - (TX) PACE HEALTH CARE 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 | 1912175902 - HEALTHPROV L.L.C., SUPERIOR NURSING CARE | 261808897 - (TX) HEALTHPROV 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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