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Modified: 11/27/2024
Download this zipped file for the locality adjusted rates for home infusion therapy for 2025.
Modified: 11/21/2024
Visit this page on the CMS website for fees and information regarding the January 2025 OTP. [CR 13763]
Modified: 11/15/2024
View MPFS disclosures for dates of service January 1-December 31, 2025. [CR 13835]
Modified: 11/15/2024
View MPFS disclosures for dates of service January 1-December 31, 2025. [CR 13835]
Modified: 11/15/2024
View MPFS disclosures for dates of service January 1December 31, 2025. [CR 13835]
Modified: 11/14/2024
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 December 31, 2025. [CR 13835]
Modified: 11/13/2024
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 December 31, 2025. [CR 13835]
Modified: 11/13/2024
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 December 31, 2025. [CR 13835]
Modified: 10/18/2024
This article discusses payment information for pneumococcal and influenza virus vaccine administration.
Modified: 10/14/2024
This article discusses payment information for pneumococcal and influenza virus vaccine administration.
2023 locality-adjusted payment amounts for the administration of influenza, pneumonia, and hepatitis B vaccines
Modified: 10/8/2024
CMS has issued a final NCD for FDA-approved Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs to prevent HIV infection. Note: Local contractor pricing has been revised for code J0750. Please review the article for current pricing.
Modified: 8/4/2024
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471. [CR 7124]
Modified: 4/5/2024
This article contains the allowances for the administration of COVID-19 vaccines and monoclonal antibodies for 2023.
Modified: 4/1/2024
View revised ASC disclosures for dates of service January 1-March 8 and March 9-December 31, 2024.
Modified: 3/20/2024
View MPFS disclosures for dates of service January 1-March 8 and March 9-December 31, 2024. [CR 13399]
Modified: 3/20/2024
View MPFS disclosures for dates of service January 1-March 8 and March 9-December 31, 2024. [CR 13399]
Modified: 3/20/2024
View MPFS disclosures for dates of service January 1-March 8 and March 9-December 31, 2024. [CR 13399]
Modified: 3/20/2024
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates March 9 through December 31, 2024. [CR 13399]
Modified: 3/20/2024
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates March 9 through December 31, 2024. [CR 13399]
Modified: 3/20/2024
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates March 9 through December 31, 2024. [CR 13399]
Modified: 3/15/2024
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 March 8, 2024. [CR 13399]
Modified: 3/15/2024
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 March 8, 2024. [CR 13399]
Modified: 3/15/2024
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 March 8, 2024. [CR 13399]
Modified: 2/22/2024
View this article for information regarding local contractor pricing.
Modified: 1/30/2024
The portable X-ray transportation fees have been updated for 2024 using the Ambulance Inflation Factor (AIF) of 2.6 percent.
Modified: 1/9/2024
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2024 (revised). [CR 13383]
Modified: 12/20/2023
View seasonal vaccine payment allowances and effective dates
Modified: 12/20/2023
View fee-related resources available on CMS.gov
Modified: 12/6/2023
Download this zipped file for the locality adjusted rates for home infusion therapy for 2024. [CR 13387]
Modified: 12/6/2023
View pricing for two new codes for administration of nirsevimab for RSV infection.
Modified: 12/6/2023
View pricing for two new codes for administration of nirsevimab for RSV infection.
Modified: 12/6/2023
View pricing for two new codes for administration of nirsevimab for RSV infection.
Modified: 11/10/2023
View MPFS disclosures for dates of service January 1-December 31, 2023 (revised) [CR 12912]
Modified: 11/10/2023
View MPFS disclosures for dates of service January 1-December 31, 2023 (revised). [CR 12912]
Modified: 11/10/2023
View MPFS disclosures for dates of service January 1-December 31, 2023 (revised). [CR 12912]
Modified: 7/26/2023
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 December 31, 2023 (revised July 2023). [CR 12912]
Modified: 7/26/2023
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 December 31, 2023 (revised July 2023). [CR 12912]
Modified: 1/19/2023
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2023. [CR 12912]
Modified: 1/6/2023
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 December 31, 2023 (revised). [CR 12912]
Modified: 11/18/2022
Download this zipped file for the locality adjusted rates for home infusion therapy for 2023. [CR 12898]
Modified: 7/15/2022
Allowances are now available for new codes for COVID-19 testing. Codes 0202U, 0223U, 0224U, and 87426 were added effective June 25. Codes 0225U, 0226U, 86408, and 86409 were added effective August 10. Code 86413 was added effective September 8. Codes 0240U, 0241U, 87635, 87636, 87637, and 87811 were added effective October 6. Code 87428 was added effective November 10. Codes U0003 and U0004 were removed; they were added to the clinical laboratory fee schedule January 1. Code 87913 was added effective February 21.
Modified: 2/1/2022
This article discusses payment information for pneumococcal and influenza virus vaccine administration.
Modified: 1/10/2022
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
Modified: 1/10/2022
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
Modified: 12/23/2021
View MPFS disclosures for dates of service January 1-December 31, 2022. [CR 12409]
Modified: 12/23/2021
View MPFS disclosures for dates of service January 1-December 31, 2022 [CR 12409]
Modified: 12/17/2021
View MPFS disclosures for dates of service January 1-December 31, 2022. [CR 12409]
Modified: 12/17/2021
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 December 31, 2022. [CR 12409]
Modified: 12/17/2021
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 December 31, 2022. [CR 12409]
Modified: 12/17/2021
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 December 31, 2022. [CR 12409]
Modified: 11/9/2021
This article contains the allowances for home infusion therapy services for service dates January 1 through December 31, 2022. [CR 12467]
Modified: 11/8/2021
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2022. [CR 12402]
Modified: 10/20/2021
The 2021 jurisdiction list was revised September 21.
Modified: 4/14/2021
CMS has revised the allowances for codes G2082 and G0283.
Modified: 4/14/2021
CMS has revised the allowances for codes G2082 and G0283.
Modified: 4/10/2021
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
Modified: 4/10/2021
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
Modified: 3/11/2021
View this article for pricing for restricted coverage (R status) codes for 2021.
Modified: 1/15/2021
This article contains the allowances for home infusion therapy services for service dates January 1 through December 31, 2021 (revised 1/15/2021) [CR 11880]
Modified: 1/6/2021
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2021 (revised 12/31/2020). [CR 11824]
Modified: 1/4/2021
View MPFS disclosures for dates of service January 1-December 31, 2021. [CR 12005]
Modified: 1/4/2021
View MPFS disclosures for dates of service January 1-December 31, 2021 [CR 12005]
Modified: 1/4/2021
View MPFS disclosures for dates of service January 1-December 31, 2021. [CR 12005]
Modified: 1/4/2021
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 December 31, 2021 (revised 12/31/2020). [CR 12005]
Modified: 1/4/2021
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 December 31, 2021 (revised 12/31/2020). [CR 12005]
Modified: 1/4/2021
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 December 31, 2021 (revised 12/31/2020). [CR 12005]
Modified: 12/11/2020
View MPFS disclosures for dates of service January 1-December 31, 2020. [CR 11493]
Modified: 12/11/2020
View MPFS disclosures for dates of service January 1-December 31, 2020 [CR 11493]
Modified: 12/11/2020
View MPFS disclosures for dates of service January 1-December 31, 2020. [CR 11493]
Modified: 11/6/2020
The 2016 allowances for procedure codes 41530, 76948, and 76948-26 have been revised.
Modified: 12/27/2019
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 December 31, 2020 (revised 12/26/2019). [CR 11493]
Modified: 12/27/2019
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 December 31, 2020 (revised 12/26/2019). [CR 11493]
Modified: 12/27/2019
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 December 31, 2020 (revised 12/26/19). [CR 11493]
Modified: 11/12/2018
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 December 31, 2019. [CR 10942]
Modified: 11/12/2018
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 December 31, 2019. [CR 10942]
Modified: 11/12/2018
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 December 31, 2019. [CR 10942]
Modified: 11/12/2018
View MPFS disclosures for dates of service January 1-December 31, 2019. [CR 10942]
Modified: 11/12/2018
View MPFS disclosures for dates of service January 1-December 31, 2019. [CR 10942]
Modified: 11/12/2018
View MPFS disclosures for dates of service January 1-December 31, 2019 [CR 10942]
Modified: 3/6/2018
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 December 31, 2018. Revised 3/6/2018.
Modified: 3/6/2018
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 December 31, 2018. Revised 3/6/2018.
Modified: 3/6/2018
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 December 31, 2018. Revised 3/6/2018.
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018 [CR 10351]
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018. [CR 10351]
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018. [CR 10351]
Modified: 9/15/2017
Change request (CR) 10222 adds carrier-priced code 93668 to the Medicare physician fee schedule (MPFS) effective for services provided on and after January 1, 2017, and adds several new carrier-priced codes to the clinical lab fee schedule effective for services provided on and after August 1, 2017. [CR 10222]
Modified: 7/18/2017
Change request (CR) 10104 adds procedure code 0474T to the Medicare physician fee schedule (MPFS) effective for services provided on and after July 1, 2017. Revised July 11.
Modified: 12/4/2016
View MPFS disclosures for dates of service January 1-December 31, 2016. [CR 9495]
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017. [CR 9794]
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017. [CR 9794]
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017 [CR 9794]
Modified: 11/11/2016
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 December 31, 2017. [CR 9794]
Modified: 11/11/2016
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 December 31, 2017. [CR 9794]
Modified: 11/11/2016
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 December 31, 2017.) [CR 9794]
Modified: 1/8/2016
View MPFS disclosures for dates of service January 1-December 31, 2016. [CR 9495]
Modified: 1/8/2016
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 December 31, 2016. [CR 9495]
Modified: 1/8/2016
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 December 31, 2016. [CR 9495]
Modified: 1/8/2016
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 December 31, 2016.) [CR 9495]
Modified: 1/8/2016
View MPFS disclosures for dates of service January 1-December 31, 2016 [CR 9495]
First Coast Service Options (First Coast) 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.