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Fee schedule news

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Modified: 10/20/2021
The 2021 jurisdiction list was revised September 21.
Modified: 10/18/2021
The 2022 Medicare physician fee schedule payment rates will be posted to First Coast’s Medicare provider website after the final rule is put on display. [Publication 100-04, Chapter 1, Section 30.3.12.1 (B2)]
Modified: 9/28/2021
This article contains the allowances for the administration of COVID-19 vaccines and monoclonal antibodies for 2021. This article was modified September 28 to reflect new code payment rates from CMS.
Modified: 9/14/2021
This article contains the allowances for the administration of COVID-19 vaccines and monoclonal antibodies for 2020.
Modified: 8/2/2021
View this article for information regarding local contractor pricing.
Modified: 5/6/2021
CMS recently issued change request (CR) 11146, which revises the payment of travel allowances when billed on a per mileage basis using HCPCS code P9603 and when billed on a flat-rate basis using HCPCS code P9604. [MM11146]
Modified: 4/29/2021
This article discusses payment information for pneumococcal and influenza virus vaccine administration.
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: 1/12/2021
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 has been added effective September 8. Codes 0240U, 0241U, 87635, 87636, 87637, and 87811 were added effective October 6. Code 87428 has been added effective November 10. Codes U0003 and U0004 were removed; they were added to the clinical laboratory fee schedule January 1.
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: 10/22/2020
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471. [CR 7124]
Modified: 10/21/2020
New MPFS files are available for services furnished by or purchased from providers in MAC Jurisdiction E (JE).
Modified: 6/12/2020
The Centers for Medicare & Medicaid Services (CMS) has posted a list of procedure codes and effective dates for which payment allowances are available for influenza virus vaccines for the 2019-2020 flu season.
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.