Fee schedule resources

Appropriate use of assistant at surgery modifiers and payment indicators

Modified: 2/2/2012

Below is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).

ZIP codes requiring a nine-digit ZIP code (ZIP+4)

Modified: 10/17/2011

To access a file containing the quarterly additions and deletions to the list of ZIP codes requiring a plus four extension refer to this link to the CMS website. [CR 5970]

Payment localities by county

Modified: 10/17/2011

A listing of the counties comprising each payment locality in Florida.

Medicare physician fee schedule payment policy indicators

Modified: 10/17/2011

This provides definitions of the national policy indicators for each procedure code (and modifier, where applicable) on the Medicare physician fee schedule database (MPFSDB). [CR 7243]

Multiple procedure payment reduction for selected therapy services

Modified: 8/22/2011

For services provided on or after January 1, 2011, Medicare is applying a multiple procedure payment reduction (MPPR) to the practice expense (PE) component for selected therapy services that are paid under the Medicare physician fee schedule (MPFS). [CR 7050]

Medicare physician fee schedule fact sheet external pdf file

Modified: 6/30/2011

This CMS fact sheet provides Medicare physician fee schedule (PFS) payment rates information, the PFS payment rates formula, and PFS resources.

First Coast Service Options (FCSO) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.