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Contractor Status Codes (C-Status)

C-Status - Contractors price the code and will establish RVUs and payment amounts for these services, generally on an individual case basis following review of documentation such as an operative report.

NOTE: Updates to contractor priced fees will be posted quarterly.

* OR Locality: 01 – Portland; 99 – Rest of State
** WA Locality: 02 – Seattle (King County); 99 – Rest of State

 

2017

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 Mar 10, 2017