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. Updates to contractor priced fees will be posted quarterly.

X
 

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

 

 

Last Updated Jun 22, 2017