Fee schedule news

This fact sheet has been revised to include information about the two month zero percent (0 percent) update to the 2010 Medicare physician fee schedule (MPFS) effective for dates of service January 1, 2010, through March 31, 2010. [PERL 201003-15]

This new law extends through March 31, 2010, the zero percent update to the Medicare physician fee schedule (MPFS) that was in effect for claims with dates of service January 1, 2010, through February 28, 2010. It also extends through March 31, 2010, the exception process for therapy claims reaching the annual cap, retroactive to January 1, 2010. [PERL 201003-04]

This article provides instructions on how to bill billing for four CPT/HCPCS codes (G0430, G0431, 80100, and 80101) during the period of January 1, 2010, through March 31, 2010. CMS will provide further information on billing after March 31, 2010. [SE1001]

This article provides instructions for the calendar year 2010 clinical laboratory fee schedule, mapping for new codes for clinical laboratory tests, and updates for laboratory costs subject to the reasonable charge payment. [MM6657]

This article was revised on January 8, to reflect the release of change request (CR) 6796 that was released on January 6. The transmittal number, CR release date and Web address for accessing CR 6796 has been changed. [MM6796]

The MPFS disclosures for dates of service January 1-February 28, 2010, are available and now include revisions to 52 procedure codes as well as the anesthesia conversion factors. In addition, the Centers for Medicare & Medicaid Services (CMS) is extending the 2010 participation enrollment period. [JSM 10114, JSM 10107, CR 6637]

The MPFS disclosures for dates of service January 1-February 28, 2010, are available and now include revisions to 52 procedure codes as well as the anesthesia conversion factors. In addition, the Centers for Medicare & Medicaid Services (CMS) is extending the 2010 participation enrollment period. [JSM 10114, JSM 10107, CR 6637]

The MPFS disclosures for dates of service January 1-February 28, 2010, are available and now include revisions to 52 procedure codes as well as the anesthesia conversion factors. In addition, the Centers for Medicare & Medicaid Services (CMS) is extending the 2010 participation enrollment period. [JSM 10114, JSM 10107, CR 6637]

This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 28, 2010. [JSM 10114, JSM 10107, CR 6637]

This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 28, 2010. [JSM 10114, JSM 10107, CR 6637]

This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through February 28, 2010. [JSM 10114, JSM 10107, CR 6637]

This article contains information about radiopharmaceutical payment allowance limits. A valid invoice is required for radiopharmaceuticals that have no established pricing and/or no specific HCPCS code.

As a result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008, fees have been revised for selected mental health codes. [JSM 08410]

Payment amounts for clinical diagnostic laboratory services for 2007.

Payment amounts for clinical diagnostic laboratory services for 2008.

Providers will have to determine payment amounts by comparing the MPFS/carrier-priced amounts to the cap amounts for the TC and global portion of imaging services. The lower amount will be paid. [CR 5448, CR 5357]

Fee schedules effective for surgical dressing items furnished on or after January 1, 2007. [CR 5417]

Fee schedules effective for clinical laboratory services furnished on or after January 1, 2007. [CR 5362]

The following fee schedules are effective for mammography services furnished on or after January 1, 2007. [CR 5448]