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Fee Schedules

A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. To ensure our provider community has access to the most current fee schedules used by Part B providers, select the appropriate Noridian or CMS link(s) from this page.

Fee Schedule Description

MPFS

Medicare Part B Physician Fee Schedules

ASC View the Ambulatory Surgical Center (ASC) Payment Rates

Ambulance

Amulance fees apply to all ambulance services, including volunteer, municipal, private, independent, and institutional providers, i.e., hospitals, critical access hospitals (except when it is the only ambulance service within 35 miles), and skilled nursing facilities.
Anesthesia Conversion Factors View the anesthesia conversion factors (CF) which are specific to the locality where the anesthesia service is rendered.
Clinical Diagnostic Laboratory Outpatient clinical laboratory services are paid based on a fee schedule. 
Clinical Laboratory Gap Filled Codes Clinical Lab Gap Filled Codes and their fee amounts.

Contractor Status Codes (C-Status)

Contractor priced codes.

DMEPOS Fee Schedule & Labor Payment

The Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedules contain fee schedule amounts, floors, and ceilings for each procedure code subject to the DMEPOS fee schedule payment methodology.
Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services MPPR allowed amounts for select therapy services paid.
Radiopharmaceutical The reimbursement as well as invoice submission requirements, indication if a code is considered non-covered, and references to fees based on the CMS Average Sale Price (ASP) Drug Fee Schedule.

 

Last Updated Sep 08, 2016

CPT and ADA End User License Agreement for Providers

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now and you will be linked back to here.

CPT codes, descriptors and other data only are copyright 2015 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.

Last Updated Jul 31, 2015

 

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