A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. To ensure our provider community has access to the most current fee schedules used by Part B providers, select the appropriate Noridian or CMS link(s) from this page.
|Fee Schedule||Brief Description|
Medicare Part B Physician Fee Schedules
View the Ambulatory Surgical Center (ASC) Payment Rates
|Ambulance providers and suppliers must accept the Medicare allowed charge as payment in full and not bill or collect from the beneficiary any amount other than any unmet Part B deductible and the Part B coinsurance amounts.|
|Anesthesia Conversion Factors||View the anesthesia conversion factors (CF) which are specific to the locality where the anesthesia service is rendered.|
|Contractor priced codes.|
|Outpatient clinical laboratory services are paid based on a fee schedule.|
|The Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedules contain fee schedule amounts, floors, and ceilings for each procedure code subject to the DMEPOS fee schedule payment methodology.|
|Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services||MPPR allowed amounts for select therapy services paid.|
|The reimbursement as well as invoice submission requirements, indication if a code is considered non-covered, and references to fees based on the CMS Average Sale Price (ASP) Drug Fee Schedule.|
Last Updated Nov 21, 2016
CPT and ADA End User License Agreement for Providers
NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now and you will be linked back to here.
CPT codes, descriptors and other data only are copyright 2015 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.
Last Updated Jul 31, 2015
CMS Fee Schedules
Last Updated Jul 10, 2015