Fees

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Fee development process of new drug code pricing

View this article for information regarding local contractor pricing.

Federal sequestration payment reductions

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

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.

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…

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.

Determining the correct locality

This article will help finding the correct locality fee schedule.

Determining the correct locality

This article will help finding the correct locality fee schedule.

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.