Medicare Physician Fee Schedules (MPFS) for 2025 - JE Part B
Medicare Physician Fee Schedules (MPFS) for 2025
If you have elected to be a participant during 2025, the limiting charges indicated on the report will not pertain to your practice. The non-participating fee schedule amounts and limiting charges do not apply to services or supplies unless they are paid under the physician fee schedule. Limiting charge applies to unassigned claims by non-participating providers. All services provided to Medicare beneficiaries are subject to audit and documentation requirements.
The CY 2025 Medicare Physicians Fee Schedule has been updated to include CPTs 0446T, 0448T. Previously published fees for CPT 61715-26 have been updated. The fees are effective January 1, 2025 through December 31, 2025. (CMS Change Request 13970)
Northern California
- Northern California - Area 05 (Alameda, Contra Costa, San Francisco, and San Mateo Counties)
- Northern California - Area 09 (Santa Clara County)
- Northern California - Area 51 (Napa County)
- Northern California - Area 52 (Marin County)
- Northern California - Area 53 (Solano County)
- Northern California - Area 54 (Kern County)
- Northern California - Area 55 (Butte County)
- Northern California - Area 56 (Fresno County)
- Northern California - Area 57 (Kings County)
- Northern California - Area 58 (Madera County)
- Northern California - Area 59 (Merced County)
- Northern California - Area 60 (Stanislaus County)
- Northern California - Area 61 (Shasta County)
- Northern California - Area 62 (Riverside and San Bernardino Counties)
- Northern California - Area 63 (Placer and Sacramento Counties)
- Northern California - Area 64 (Monterey County)
- Northern California - Area 65 (San Benito County)
- Northern California - Area 66 (Santa Cruz County)
- Northern California - Area 67 (Sonoma County)
- Northern California - Area 68 (San Joaquin County)
- Northern California - Area 69 (Tulare County)
- Northern California - Area 70 (Sutter County)
- Northern California - Area 75 (All Other Counties)
Southern California
- Southern California - Area 17 (Ventura County)
- Southern California - Area 18 (Los Angeles and Orange Counties)
- Southern California - Area 71 (Imperial County)
- Southern California - Area 72 (San Diego County)
- Southern California - Area 73 (San Luis Obispo County)
- Southern California - Area 74 (Santa Barbara County)
The CY 2025 Medicare Physicians Fee Schedule has been updated by Section 3206 of the American Relief Act, 2025. The fees are effective for dates of service January 1, 2025 through December 31, 2025.
Northern California
- Northern California - Area 05 (Alameda, Contra Costa, San Francisco, and San Mateo Counties)
- Northern California - Area 09 (Santa Clara County)
- Northern California - Area 51 (Napa County)
- Northern California - Area 52 (Marin County)
- Northern California - Area 53 (Solano County)
- Northern California - Area 54 (Kern County)
- Northern California - Area 55 (Butte County)
- Northern California - Area 56 (Fresno County)
- Northern California - Area 57 (Kings County)
- Northern California - Area 58 (Madera County)
- Northern California - Area 59 (Merced County)
- Northern California - Area 60 (Stanislaus County)
- Northern California - Area 61 (Shasta County)
- Northern California - Area 62 (Riverside and San Bernardino Counties)
- Northern California - Area 63 (Placer and Sacramento Counties)
- Northern California - Area 64 (Monterey County)
- Northern California - Area 65 (San Benito County)
- Northern California - Area 66 (Santa Cruz County)
- Northern California - Area 67 (Sonoma County)
- Northern California - Area 68 (San Joaquin County)
- Northern California - Area 69 (Tulare County)
- Northern California - Area 70 (Sutter County)
- Northern California - Area 75 (All Other Counties)
Southern California
- Southern California - Area 17 (Ventura County)
- Southern California - Area 18 (Los Angeles and Orange Counties)
- Southern California - Area 71 (Imperial County)
- Southern California - Area 72 (San Diego County)
- Southern California - Area 73 (San Luis Obispo County)
- Southern California - Area 74 (Santa Barbara County)