Fees

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Federal sequestration payment reductions

Find information pertaining to the 2% reduction in Medicare payments due to sequestration.

Core-based statistical areas for ASCs - Puerto Rico

Ambulatory Surgical Centers (ASCs) need to know their CBSA code in order to determine the correct fees.

Core-based statistical areas for ASCs - Florida

Beginning in 2008, CMS adjusts ASC rates for geographic differences in wages using the geographic locality definitions initially established in 2003 by the Office of Management and Budget (OMB).

Quarterly update to the Medicare Physician Fee Schedule (MPFS) - April 2025

These changes will be implemented April 7, effective for services January 1 and after.

Medicare Diabetes Prevention Program (MDPP) 2025 changes

Effective January 1, CMS has removed the MDPP bridge payment (HCPCS code G9890) from the 2025 fee schedule and updated the payment rates. Claims will be denied for HCPCS code G9890 for dates of…

Differences between fee schedule file types

This article explains the differences between the First Coast Part B fee schedule lookup, PDF files, and zipped text files.

Finding fee schedule policy indicators

How to find policy indicators such as gloabl days for a service, relative value units (RVUs) for a particular code, and more.

Fee schedule par, nonpar, and limiting charge explanation

Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.

Fee schedule par, nonpar, and limiting charge explanation

Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.

Finding fee schedule policy indicators

How to find policy indicators such as gloabl days for a service, relative value units (RVUs) for a particular code, and more.