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See a sample rate comparisonHCPCS S9485 Fee Schedule
Last Verified: September 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.
Crisis intervention mental health services, per diem
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Miscellaneous Supplies and Services |
| Common Place of Service | 99 - Other POS 53 - Community Mental Health Center None |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for S9485 |
National average reimbursement for HCPCS S9485 by major payers:
$754.02
$560.25
$89.24
$303.56
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HCPCS S9485
5 of 9 sample ratesHigher to lower in this preview
Jeremy Halbe
Mary Hitchcock Memorial Hospital
$569.35Published rateJeremy Halbe
Mary Hitchcock Memorial Hospital
$569.35Published rateChristy Sherman
Western Psychological & Counseling Services, P.C.
$468.01Published rateHeart Centered Counseling, PC, Lifestance Health
Heart Centered Counseling Inc
$468.01Published rateChristy Sherman
Western Psychological & Counseling Services, P.C.
$468.01Published rate
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See a sample payer proposalHCPCS S9485 vs. Other Miscellaneous Supplies and Services Codes
The HCPCS S9485 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 S9485 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 |
|---|---|---|
| S9484-HCPCS | Low | Crisis intervention mental health services, per hour |
| S9485-HCPCS | Moderate | Crisis intervention mental health services, per diem |
| S9490-HCPCS | Low | Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), 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 S9485. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S9485 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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