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

X
 

2017

Quarterly Updates [PDF]

Effective January 1, 2017

2016

Effective January 1, 2016

2015

Effective July 1, 2015

  • For Dates of Service on/after 1/1/15 and processed on/after 2/18/15
State CMS MPFS Locality Notes Procedure Code Modifier Par Fee NonPar Fee Limiting Charge eRx Limiting Charge EHR Limiting Charge PQRS Limiting Charge EHR + PQRS Limiting Charge
AK 01   G6017   130.74 124.20 142.83 n/a 141.41 140.69 139.28
AZ 00   G6017   111.33 105.76 121.63 n/a 120.41 119.80 118.61
MT 01   G6017   99.96 94.96 109.21 n/a 108.11 107.57 106.49
ND 01   G6017   98.40 93.48 107.50 n/a 106.43 105.89 104.83
OR 01   G6017   115.45 109.68 126.13 n/a 124.87 124.24 122.99
OR 99   G6017   106.86 101.52 116.74 n/a 115.58 114.99 113.84
SD 02   G6017   100.49 95.47 109.79 n/a 108.69 108.14 107.06
UT 09   G6017   107.37 102.00 117.30 n/a 116.13 115.54 114.39
WA 02   G6017   123.50 117.33 134.92 n/a 133.57 132.90 131.57
WA 99   G6017   112.42 106.80 122.82 n/a 121.59 120.98 119.77
WY 21   G6017   100.43 95.41 109.72 n/a 108.62 108.07 106.99

 

  • For Dates of Service on/after 1/1/13 and processed on/after 3/26/15
State CMS MPFS Locality Notes Procedure Code Modifier Par Fee NonPar Fee Limiting Charge eRx Limiting Charge EHR Limiting Charge PQRS Limiting Charge EHR + PQRS Limiting Charge
ID 00   0182T   1496.26 1421.45 1634.66 1610.14 n/a n/a n/a
ID 00   0182T 26 150.17 142.66 164.06 161.60 n/a n/a n/a
ID 00   0182T TC 1346.09 1278.79 1470.60 1448.54 n/a n/a n/a

 

  • For Dates of Service on/after 1/1/14 and processed on/after 3/26/15
State CMS MPFS Locality Notes Procedure Code Modifier Par Fee NonPar Fee Limiting Charge eRx Limiting Charge EHR Limiting Charge PQRS Limiting Charge EHR + PQRS Limiting Charge
ID 00   0182T   1574.44 1495.72 1720.08 1685.67 n/a n/a n/a
ID 00   0182T 26 157.15 149.29 171.69 168.25 n/a n/a n/a
ID 00   0182T TC 1417.29 1346.43 1548.39 1517.42 n/a n/a n/a

 

  • For Dates of Service on/after 1/1/15 and processed on/after 3/26/15
State CMS MPFS Locality Notes Procedure Code Modifier Par Fee NonPar Fee Limiting Charge eRx Limiting Charge EHR Limiting Charge PQRS Limiting Charge EHR + PQRS Limiting Charge
ID 00   0182T   1570.47 1491.95 1715.74 n/a 1698.58 1681.42 1664.61
ID 00   0182T 26 155.87 148.08 170.29 n/a 168.59 166.88 165.21
ID 00   0182T TC 1414.60 1343.87 1545.45 n/a 1530.00 1514.54 1499.40

 

Effective January 1, 2015

 

Last Updated Nov 17, 2017