CurrentFlorida BluePolicy N/A

Hyperbaric Oxygen Therapy reimbursement fee schedule

Defines allowed and facility amounts for specific procedure codes and modifier 02 for Hyperbaric Oxygen Therapy applicable to Florida Blue claims processing.

Policy Summary

PayerFlorida Blue

PolicyHyperbaric Oxygen Therapy reimbursement fee schedule

Policy CodePolicy N/A

Change TypeNo material change

Effective DateJan 1, 2025

Next Review DateN/A

Key ActionApply modifier 02 to the listed Hyperbaric Oxygen Therapy procedure codes effective 1/1/2025.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

S138.92allowed amount for CPT 99183 (non-facility)

S228.44allowed amount for HCPCS G0277

S285.80highest listed allowed amount (CPT 99205)

100%allowances represent percent of base fee schedule

Allowed and Facility Amounts

Allowed and facility amounts

Reimbursement amounts and facility amounts by code (modifier 02):

Code 99183 — Allowed: $138.92; Facility: $138.92

Code 99202 — Allowed: $92.76; Facility: $61.20

Code 99203 — Allowed: $144.39; Facility: $106.60

Code 99204 — Allowed: $216.39; Facility: $172.79

Code 99205 — Allowed: $285.80; Facility: $235.14

Policy Summary

PayerFlorida Blue

PolicyHyperbaric Oxygen Therapy reimbursement fee schedule

Policy CodePolicy N/A

Change TypeNo material change

Effective DateJan 1, 2025

Next Review DateN/A

Key ActionApply modifier 02 to the listed Hyperbaric Oxygen Therapy procedure codes effective 1/1/2025.

SourceLink

On This Page

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Procedure and HCPCS Codes

Listed procedure codes and HCPCSmixedCovered

99183	Hyperbaric Oxygen Therapy
99202	Office or other outpatient visit, new patient
99203	Office or other outpatient visit, new patient
99204	Office or other outpatient visit, new patient
99205	Office or other outpatient visit, new patient
99212	Office or other outpatient visit, established patient
99213	Office or other outpatient visit, established patient
99214	Office or other outpatient visit, established patient
99215	Office or other outpatient visit, established patient
G0277	Hyperbaric oxygen therapy, not otherwise specified

Fee schedule representativeness

RepresentativenessAllowances shown represent 100% of the base fee schedule

Contract noteAllowances may not match contracted percentages; refer to your contract for the appropriate percentage of base fee schedule reimbursement

Effective date1/1/2025

Modifier and Effective Date

Billing Rule

Modifier and effective date note

Apply Modifier 02 for Hyperbaric Oxygen Therapy billing where required. Allowances shown represent 100% of the base fee schedule and may not match contracted percentages — refer to your contract for the appropriate percentage of base fee schedule reimbursement. Effective: 2025-01-01.

Affected codes: 99214, 99215, G0277
Modifier: 02
Effective date: 2025-01-01

OpenPayer

Hyperbaric Oxygen Therapy reimbursement fee schedule

Allowed and Facility Amounts

Procedure and HCPCS Codes

Modifier and Effective Date

Modifier Definitions