Fee Schedules - JE Part B
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. Providers may access the most current fee schedules from the link(s) below.
MPFS - View the Medicare Part B Physician Fee Schedules.
- Allowed Amount Reductions
- Sequestration - Mandatory 2% Payment Reduction Continues for Medicare FFS Program
Ambulance - View fees that apply to all ambulance services, including volunteer, municipal, private, independent, and institutional providers, i.e., hospitals, critical access hospitals (except when it is the only ambulance service within 35 miles), and skilled nursing facilities.
Ambulatory Surgical Center (ASC) - View ASC Payment Rates.
Anesthesia Conversion Factors - View the anesthesia conversion factors (CF) which are specific to the locality where the anesthesia service is rendered.
Clinical Diagnostic Laboratory - View the Outpatient Diagnostic Laboratory services fee schedule.
Contractor Status Codes (C-Status) - View contractor priced codes.
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule & Labor Payment - Access the DMEPOS Fee Schedules and Labor Payment and view the Jurisdiction lists.
Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services - View MPPR allowed amounts for select therapy services paid.
Radiopharmaceutical - View the reimbursement and 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 Wed, 30 Oct 2019 07:39:37 +0000
CPT, ADA, and AHA 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 2018 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.
Copyright © 2018, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816
Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association.