HCPCS G0559

Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)

Current code10 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0559 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$51.731 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$26.821 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$15.60$24.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$50.081 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$30.031 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$30.031 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$30.031 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$29.341 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$29.591 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$30.031 plan——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$10.53 in an office; $8.48 in a hospital or surgery center
Doctor's fee, rest of Washington
$9.69 in an office; $7.93 in a hospital or surgery center