

These billing and payment policies determine under what conditions we will pay health care and vocational providers who treat injured workers and crime victims.

Professional Services Fee Schedule - Excel spreadsheet of the complete fee schedule excluding the ASC Fees, AP-DRGs, Hospital Rates and Residential Facility Rates.Note: These fee schedules have been enhanced with search features for your convenience. Please make sure to review our Temporary Telehealth Payment Policies on the tab above.Ģ021 Quick Reference Fee Schedule Professional and Facility Services Fee Schedules (July 2021)

These changes are also included in the payment policies. Read about the highlights of changes in the last year. Make sure to check the Updates & Corrections tab for any changes to the Fee schedules. In addition, this file contains an urban, rural or a low density (qualified) area Zip Code indicator.įor a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) providers, including physicians, other practitioners and suppliers, go to the Provider Center (see under "Related Links" below).This site contains the policies, payment methods, billing codes, and maximum fees used to pay health care and vocational providers who treat injured workers. This file will also map Zip Codes to their State.

This file is primarily intended to map Zip Codes to CMS carriers/Medicare Administrative Contractors and localities. ZIPCODE TO CARRIER LOCALITY FILE (see files below) See Related Links below for information about each specific fee schedule. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers.
