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The PFS Look-Up Tool helps you find Medicare payment amounts for each code so you can calculate the patient coinsurance amount. The PFS gives the limiting charge for nonparticipating providers and suppliers who treat Medicare patients.
Contribute. Physician’s Fee Schedule Code Search & Downloads.
The site allows you to: Search pricing amounts, various payment policy indicators, RVUs, and GPCIs by a single procedure code, a range and a list of procedure codes. Search for the national payment amount, a specific Medicare Administrative Contractor (MAC) or a specific MAC locality.
Our Palmetto GBA Medicare Physician Fee Schedule (MPFS) tool allows you to display or download fees, indicators, and indicator descriptors. Start by selecting your fee's year in the box below. As you answer questions, new ones will appear to guide your search.
Medicare Physician Fee Schedule Lookup. Use this practice management tool to look up the area-specific Medicare fee for a CPT® code. Enter your own fee to compare it to area-specific Medicare fees for the years 2002 through 2022. You have access over over 12 million fees.
Find fee schedules – fee schedule lookup. Complete this form to obtain Medicare fee-for-service allowances. You must select a fee schedule and enter a procedure code, location, and date of service.
In this booklet we’ve shown several searches using the MPFS Look-Up Tool. For more information, see the Resources section on page 37. Print out the Medicare Physician Fee Schedule (MPFS) Quick Reference Search Guide on page 36 of this booklet for a step-by-step summary of how to use the MPFS Look-Up Tool.