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Fee schedule news

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October update to the 2018 Medicare physician fee schedule database
Modified: 8/13/2018
Change request (CR) 10898 amends payment files that were issued to your contractor based upon the 2018 Medicare physician fee schedule (MPFS) final rule published in November 2017. These payment files are effective for services furnished between January 1, 2018, and December 31, 2018. [MM10898]
Quarterly influenza virus vaccine code update -- January 2019
Modified: 8/9/2018
Change request 10871 provides information on processing of new influenza CPT® 90689. This new code will be included on the 2019 Medicare physician fee schedule database file update and the annual Healthcare Common Procedure Coding System (HCPCS) update. [MM10871]
July 2018 update of drug and biological code changes
Modified: 7/9/2018
Change request (CR) 10624 adds new codes Q9991, Q9992, Q9993, and Q9995, which are all payable by Medicare. This article was revised July 6 to reflect a revised CR issued July 5. The article is revised to show the type of service code for CPT® code 90739 remains as V. Also, the CR release date, transmittal number, and the web address of the CR are revised. All other information is the same. [MM10624]
Additional changes to the 2016 Medicare physician fee schedule database (MPFSDB)
Modified: 6/8/2018
The 2016 allowances for procedure codes 41530, 76948, and 76948-26 have been revised.
Fee schedule for administration of influenza and pneumococcal virus vaccines
Modified: 6/2/2018
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471. [CR 7124]
Claim processing actions to implement certain provisions of the Bipartisan Budget Act of 2018
Modified: 5/14/2018
Change request 10531 provides Medicare administrative contractor instructions for reprocessing several provisions of the Bipartisan Budget Act of 2018, which includes ambulance add-on payment provisions and the work geographic practice cost index floor. Note: This article was revised April 5, 2018, to reflect a revised CR, which was revised April 4 to include page two of Attachment B - Rural Add on Rate Tables. In the article, the CR release date, transmittal number, and the web address for the CR are revised. All other information remains the same. [MM10531]
2018 anesthesia conversion factors for Puerto Rico
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.
2018 anesthesia conversion factors for the U.S. Virgin Islands
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.
2018 anesthesia conversion factors for Florida
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.
Seasonal influenza vaccines pricingexternal link
Modified: 3/1/2018
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 2017-2018 flu season.
2018 Medicare physician fee schedule (MPFS) disclosures for the U.S. Virgin Islands
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018 [CR 10351]
2018 Medicare physician fee schedule (MPFS) disclosures
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018. [CR 10351]
2018 Medicare physician fee schedule (MPFS) disclosures for Puerto Rico
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018. [CR 10351]
Carrier-priced code additions effective October 2017
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]
Carrier-priced code addition effective July 2017
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.
2016 Medicare physician fee schedule (MPFS) disclosures for Puerto Rico
Modified: 12/4/2016
View MPFS disclosures for dates of service January 1-December 31, 2016. [CR 9495]
2017 Medicare physician fee schedule (MPFS) disclosures
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017. [CR 9794]
2017 Medicare physician fee schedule (MPFS) disclosures for Puerto Rico
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017. [CR 9794]
2017 Medicare physician fee schedule (MPFS) disclosures for the U.S. Virgin Islands
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017 [CR 9794]
2017 anesthesia conversion factors for Puerto Rico
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]
2017 anesthesia conversion factors for the U.S. Virgin Islands
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]
2017 anesthesia conversion factors for Florida
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]
2016 Medicare physician fee schedule (MPFS) disclosures
Modified: 1/8/2016
View MPFS disclosures for dates of service January 1-December 31, 2016. [CR 9495]
2016 anesthesia conversion factors for the U.S. Virgin Islands
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]
2016 anesthesia conversion factors for Puerto Rico
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]
2016 anesthesia conversion factors for Florida
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]
2016 Medicare physician fee schedule (MPFS) disclosures for the U.S. Virgin Islands
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.