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.
2024
Updates to the 2024 Status-C Fee Schedules
- 0671T fees were added for claims processed on/after 2/5/2024.
- 0212T fees added for claims processed on/after 5/6/2024.
- 0660T fees added for claims processed on/after 5/8/2024.
- 96548 fees added for claims processed on/after 5/16/2024.
- 0866T fees added for claims processed on/after 7/16/2024.
- 0866T-TC fees added for claims processed on/after 7/16/2024.
- 0866T-26 fees added for claims processed on/after 7/16/2024.
- 64596 fees added for claims processed on/after 7/16/2024.
- 0209T fees added for claims processed on/after 7/30/2024.
- 0816T fees added for claims processed on/after 7/30/2024.
- 0650T fees added for claims processed on/after 7/31/2024.
- 0650T-26 fees added for claims processed on/after 7/31/2024.
- 0795T fees added for claims processed on/after 8/9/2024.
- 0796T fees added for claims processed on/after 8/9/2024.
- 0619T fees added for claims processed on/after 8/29/2024.
- 0770T fees added for claims processed on/after 8/29/2024.
- 0810T fees added for claims processed on/after 9/25/2024.
- 0576T fees added for claims processed on/after 9/30/2024.
- 0587T fees added for claims processed on/after 9/30/2024.
- 0640T fees updated for claims processed on/after 10/31/2024.
- 0640T-TC fees added for claims processed on/after 10/31/2024.
- 0640T-26 fees added for claims processed on/after 10/31/2024.
- 64597 fees added for claims processed on/after 10/31/2024.
The CY 2024 MPFS Status-C fees have been updated due to The Consolidated Appropriations Act, 2024. The fees are effective for dates of service March 9, 2024 through December 31, 2024.
- Hawaii/Pacific Islands [Excel]
- Nevada [Excel]
Northern California
- Area 05 (Alameda, Contra Costa, San Francisco, and San Mateo 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 and Orange Counties) [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]
The CY 2024 MPFS Status-C fees are effective for dates of service January 1, 2024 through March 8, 2024.
- Hawaii/Pacific Islands [Excel]
- Nevada [Excel]
Northern California
- Area 05 (Alameda, Contra Costa, San Francisco, and San Mateo 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 and Orange Counties) [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]
2023
Updates to the 2023 Status-C Fee Schedules
- G0465 fees were added effective for claims processed on/after 2/9/2023.
- 0578T fees were updated effective for claims processed on/after 3/17/2023.
- 0579T fees were updated effective for claims processed on/after 3/17/2023.
- G2066 fees were updated effective for claims processed on/after 6/14/2023.
- 0436T fees were updated effective for claims processed on/after 8/2/2023.
- 0673T fees were updated effective for claims processed on/after 7/7/23.
- 0690T fees were updated effective for claims processed on/after 7/12/23.
- 0690T-TC fees were updated effective for claims processed on/after 7/12/23.
- 0690T-26 fees were updated effective for claims processed on/after 7/12/23.
- 0571T fees were updated effective for claims processed on/after 9/5/2023.
- 0266T fees were updated effective for claims processed on/after 12/21/2023.
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]
Last Updated Nov 07 , 2024
