Contractor Status Codes (C-Status) - JE Part B
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.
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2023
Updates to the 2023 Status-C Fee Schedules
- G0465 fees effective for claims processed on/after 2/9/2023
Effective January 1, 2023 - December 31, 2023
- Hawaii/Pacific Islands [Excel]
- Nevada [Excel]
Northern California
- Area 05 (San Francisco County) [Excel]
- Area 06 (San Mateo County) [Excel]
- Area 07 (Alameda and Contra Costa Counties) [Excel]
- Area 09 (Santa Clara County) [Excel]
- Area 51 (Napa County) [Excel]
- Area 52 (Marin County) [Excel]
- Area 53 (Solano County) [Excel]
- Area 54 (Kern County) [Excel]
- Area 55 (Butte County) [Excel]
- Area 56 (Fresno County) [Excel]
- Area 57 (Kings County) [Excel]
- Area 58 (Madera County) [Excel]
- Area 59 (Merced County) [Excel]
- Area 60 (Stanislaus County) [Excel]
- Area 61 (Shasta County) [Excel]
- Area 62 (Riverside and San Bernardino Counties) [Excel]
- Area 63 (Placer and Sacremento Counties) [Excel]
- Area 64 (Monterey County) [Excel]
- Area 65 (San Benito County) [Excel]
- Area 66 (Santa Cruz County) [Excel]
- Area 67 (Sonoma County) [Excel]
- Area 68 (San Joaquin County) [Excel]
- Area 69 (Tulare County) [Excel]
- Area 70 (Sutter County) [Excel]
- Area 75 (All other Northern California Counties) [Excel]
Southern California
- Area 17 (Ventura County) [Excel]
- Area 18 (Los Angeles County) [Excel]
- Area 26 (Orange County) [Excel]
- Area 71 (Imperial County) [Excel]
- Area 72 (San Diego County) [Excel]
- Area 73 (San Luis Obispo County) [Excel]
- Area 74 (Santa Barbara County) [Excel]
2022
2022 Quarterly MPFS Status C Code Fee Updates [PDF]
Effective January 1, 2022 - December 31, 2022
- Hawaii/Pacific Islands [Excel]
- Nevada [Excel]
Northern California
- Area 05 (San Francisco County) [Excel]
- Area 06 (San Mateo County) [Excel]
- Area 07 (Alameda and Contra Costa Counties) [Excel]
- Area 09 (Santa Clara County) [Excel]
- Area 51 (Napa County) [Excel]
- Area 52 (Marin County) [Excel]
- Area 53 (Solano County) [Excel]
- Area 54 (Kern County) [Excel]
- Area 55 (Butte County) [Excel]
- Area 56 (Fresno County) [Excel]
- Area 57 (Kings County) [Excel]
- Area 58 (Madera County) [Excel]
- Area 59 (Merced County) [Excel]
- Area 60 (Stanislaus County) [Excel]
- Area 61 (Shasta County) [Excel]
- Area 62 (Riverside and San Bernardino Counties) [Excel]
- Area 63 (Placer and Sacremento Counties) [Excel]
- Area 64 (Monterey County) [Excel]
- Area 65 (San Benito County) [Excel]
- Area 66 (Santa Cruz County) [Excel]
- Area 67 (Sonoma County) [Excel]
- Area 68 (San Joaquin County) [Excel]
- Area 69 (Tulare County) [Excel]
- Area 70 (Sutter County) [Excel]
- Area 75 (All other Northern California Counties) [Excel]
Southern California
- Area 17 (Ventura County) [Excel]
- Area 18 (Los Angeles County) [Excel]
- Area 26 (Orange County) [Excel]
- Area 71 (Imperial County) [Excel]
- Area 72 (San Diego County) [Excel]
- Area 73 (San Luis Obispo County) [Excel]
- Area 74 (Santa Barbara County) [Excel]
2021
2021 Quarterly MPFS Status C Code Fee Updates [PDF]
Effective January 1, 2021
- Hawaii/Pacific Islands [Excel]
- Nevada [Excel]
Northern California
- Area 05 (San Francisco County) [Excel]
- Area 06 (San Mateo County) [Excel]
- Area 07 (Alameda and Contra Costa Counties) [Excel]
- Area 09 (Santa Clara County) [Excel]
- Area 51 (Napa County) [Excel]
- Area 52 (Marin County) [Excel]
- Area 53 (Solano County) [Excel]
- Area 54 (Kern County) [Excel]
- Area 55 (Butte County) [Excel]
- Area 56 (Fresno County) [Excel]
- Area 57 (Kings County) [Excel]
- Area 58 (Madera County) [Excel]
- Area 59 (Merced County) [Excel]
- Area 60 (Stanislaus County) [Excel]
- Area 61 (Shasta County) [Excel]
- Area 62 (Riverside and San Bernardino Counties) [Excel]
- Area 63 (Placer and Sacremento Counties) [Excel]
- Area 64 (Monterey County) [Excel]
- Area 65 (San Benito County) [Excel]
- Area 66 (Santa Cruz County) [Excel]
- Area 67 (Sonoma County) [Excel]
- Area 68 (San Joaquin County) [Excel]
- Area 69 (Tulare County) [Excel]
- Area 70 (Sutter County) [Excel]
- Area 75 (All other Northern California Counties) [Excel]
Southern California
- Area 17 (Ventura County) [Excel]
- Area 18 (Los Angeles County) [Excel]
- Area 26 (Orange County) [Excel]
- Area 71 (Imperial County) [Excel]
- Area 72 (San Diego County) [Excel]
- Area 73 (San Luis Obispo County) [Excel]
- Area 74 (Santa Barbara County) [Excel]
Last Updated Thu, 16 Mar 2023 14:04:35 +0000