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.

Localities: * OR 01 = Portland; 99 = Rest of State and ** WA 02 = Seattle (King County); 99 = Rest of State

 

2025

Updates to the 2025 Status-C Fee Schedules

  • 0202T fees updated for claims processed on/after 01/15/2025.
  • 0440T fees updated for claims processed on/after 01/15/2025.
  • 0780T fees updated for claims processed on/after 01/15/2025.
  • 0826T fees updated for claims processed on/after 01/15/2025.
  • 97156 fees updated for claims processed on/after 01/15/2025.
  • 98978 fees updated for claims processed on/after 01/15/2025.
  • 0826T-26 fees updated for claims processed on/after 01/17/2025.
  • 0826T-TC fees updated for claims processed on/after 01/17/2025.
  • 0278T fees updated for claims processed on/after 03/21/2025.
  • 0658T fees updated for claims processed on/after 03/25/2025.
  • 0894T fees updated for claims processed on/after 03/25/2025.
  • 0895T fees updated for claims processed on/after 03/25/2025.
  • 0896T fees updated for claims processed on/after 03/25/2025.
  • 0581T fees updated for claims processed on/after 03/28/2025.
  • 0439T fees updated for claims processed on/after 04/12/2025.
  • 0623T fees updated for claims processed on/after 04/12/2025.
  • 0624T fees updated for claims processed on/after 04/12/2025.
  • 0625T fees updated for claims processed on/after 04/12/2025.
  • 0626T fees updated for claims processed on/after 04/12/2025.
  • 0748T fees updated for claims processed on/after 04/12/2025.
  • G0552 fees updated for claims processed on/after 05/13/2025.
  • 0601T fees updated for claims processed on/after 05/13/2025.
  • 0707T fees updated for claims processed on/after 05/16/2025.
  • 0869T fees updated for claims processed on/after 05/29/2025.
  • 0913T fees updated for claims processed on/after 06/12/2025.
  • 0620T fees updated for claims processed on/after 06/25/2025.
  • 0817T fees updated for claims processed on/after 06/25/2025.
  • 0692T fees updated for claims processed on/after 06/26/2025.

The CY2025 MPFS Contractor Status-C fee file are provided below. They are effective January 1, 2025 – December 31, 2025.

2024

The CY 2024 MPFS Status-C fees have been updated for procedure codes 0623T, 0624T, 0625T, 0626T effective December 8, 2024 - December 31, 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.
  • 0818T fees updated for claims processed on/after 11/19/2024.
  • 0437T fees added for claims processed on/after 11/21/2024.
  • 0859T fees added for claims processed on/after 11/21/2024.
  • 0859T-TC fees added for claims processed on/after 11/21/2024.
  • 0859T-26 fees added for claims processed on/after 11/21/2024.
  • 0583T fees added for claims processed on/after 11/27/2024.
  • 0799T fees added for claims processed on/after 11/27/2024.
  • 0561T fees updated for claims processed on/after 12/09/2024.
  • 0562T fees updated for claims processed on/after 12/09/2024.
  • 0271T fees updated for claims processed on/after 12/30/2024.
  • 0339T fees updated for claims processed on/after 12/30/2024.
  • 0413T fees updated for claims processed on/after 12/30/2024.
  • 0600T fees updated for claims processed on/after 12/30/2024.
  • 0823T fees updated for claims processed on/after 12/30/2024.
  • 0415T fees updated for claims processed on/after 01/08/2025.
  • 0441T fees updated for claims processed on/after 01/08/2025.
  • 0530T fees updated for claims processed on/after 01/08/2025.
  • 0686T fees updated for claims processed on/after 01/08/2025.
  • 0804T fees updated for claims processed on/after 01/08/2025.
  • 0804T-26 fees updated for claims processed on/after 01/08/2025.
  • 0804T-TC fees updated for claims processed on/after 01/08/2025.
  • G0460 fees updated for claims processed on/after 01/09/2025.
  • 0200T fees updated for claims processed on/after 01/09/2025.
  • 0529T fees updated for claims processed on/after 01/09/2025.
  • 0529T-26 fees updated for claims processed on/after 01/09/2025.
  • 0529T-TC fees updated for claims processed on/after 01/09/2025.
  • 0646T fees updated for claims processed on/after 01/09/2025.
  • 0742T fees updated for claims processed on/after 01/09/2025.
  • 0742T-26 fees updated for claims processed on/after 01/09/2025.
  • 0742T-TC fees updated for claims processed on/after 01/09/2025.
  • 0798T fees updated for claims processed on/after 01/09/2025.
  • 0202T fees updated for claims processed on/after 01/15/2025.
  • 0440T fees updated for claims processed on/after 01/15/2025.
  • 0780T fees updated for claims processed on/after 01/15/2025.
  • 0826T fees updated for claims processed on/after 01/15/2025.
  • 97156 fees updated for claims processed on/after 01/15/2025.
  • 98978 fees updated for claims processed on/after 01/15/2025.
  • 0826T-26 fees updated for claims processed on/after 01/17/2025.
  • 0826T-TC fees updated for claims processed on/after 01/17/2025.
  • 0278T fees updated for claims processed on/after 03/21/2025.
  • 0658T fees updated for claims processed on/after 03/25/2025.
  • 0894T fees updated for claims processed on/after 03/25/2025.
  • 0895T fees updated for claims processed on/after 03/25/2025.
  • 0896T fees updated for claims processed on/after 03/25/2025.
  • 0581T fees updated for claims processed on/after 03/28/2025.
  • 0439T fees updated for claims processed on/after 04/12/2025.
  • 0748T fees updated for claims processed on/after 04/12/2025.
  • 0601T fees updated for claims processed on/after 05/13/2025.
  • 0707T fees updated for claims processed on/after 05/16/2025.
  • 0817T fees updated for claims processed on/after 06/25/2025.

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.

The CY 2024 MPFS Status-C fees are effective for dates of service January 1, 2024 through March 8, 2024.

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

 

Last Updated $dateUtil.getDate( $modifieddate , "MMM dd , yyyy" , $locale , $tzone )