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Contractor Status Codes (C-Status)

CMS does not establish fees for C status codes; they are priced per Contractor discretion. Each year these code prices are reviewed and revised (price increase and/or decrease varies from code to code). Normally, prices are not determined until they are billed. Our review of medical records will assist in the evaluation and pricing of these services.

NOTE: Updates to contractor priced fees will be posted quarterly

2017

Effective January 1, 2017

2016

Effective January 1, 2016

2015

Effective July 1, 2015

For Dates of Service on/after 1/1/15 and processed on/after 2/18/15

State CMS MPFS Locality Notes Procedure Code Modifier Par Fee NonPar Fee Limiting Charge eRx Limiting Charge EHR Limiting Charge PQRS Limiting Charge EHR + PQRS Limiting Charge
CA 03   G6017   135.27 128.51 147.78 n/a 146.30 145.57 144.11
CA 05   G6017   152.32 144.70 166.41 n/a 164.75 163.91 162.27
CA 06   G6017   151.72 144.13 165.75 n/a 164.10 163.27 161.64
CA 07   G6017   137.53 130.65 150.25 n/a 148.75 148.00 146.52
CA 09   G6017   138.69 131.76 151.52 n/a 150.00 149.25 147.75
CA 17   G6017   135.41 128.64 147.94 n/a 146.46 145.72 144.26
CA 18   G6017   131.86 125.27 144.06 n/a 142.62 141.90 140.48
CA 26   G6017   135.93 129.13 148.50 n/a 147.02 146.28 144.81
CA 99   G6017   115.33 109.56 126.00 n/a 124.74 124.11 122.87
HI 01   G6017   112.62 106.99 123.04 n/a 121.81 121.19 119.98
NV 00   G6017   125.08 118.83 136.65 n/a 135.28 134.60 133.25


Effective January 1, 2015

Last Updated Jan 25, 2017