Medicare Fee Schedule Rates

This connector looks up what the Medicare Physician Fee Schedule allows for a CPT or HCPCS code on a date of service.

A call takes up to 25 lines (code, optional modifier, date of service), an optional state and locality, and an office or facility setting. Each answer gives the Medicare national figure and the state range or one locality's figure, the quarterly CMS release in force on that date, the CMS source files with their SHA-256 checksums, and the formula, so the figure can be checked against the CMS file. More