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Fee schedule resources

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Medicare Part B drug average sales priceexternal link
Modified: 9/18/2018
Visit the Medicare Part B drug average sales price page on the CMS website
Florida payment localities by county
Modified: 9/15/2018
Here is a listing of the counties comprising each payment locality in Florida.
ZIP codes requiring a nine-digit ZIP code (ZIP+4)
Modified: 9/13/2018
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]
Core-based statistical areas for Florida ASCs
Modified: 9/13/2018
Ambulatory Surgical Centers (ASCs) need to know their CBSA code in order to determine the correct fees.
Medicare physician fee schedule payment policy indicators
Modified: 9/12/2018
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 9784]
Appropriate use of assistant at surgery modifiers and payment indicators
Modified: 8/17/2018
Here 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).
Clinical laboratory fee schedule (download files)external link
Modified: 8/16/2018
The clinical laboratory fee schedule files are located in the download section of this page.
Medicare physician fee schedule fact sheetexternal pdf file
Modified: 8/1/2018
This CMS fact sheet provides Medicare physician fee schedule (PFS) payment rates information, the PFS payment rates formula, and PFS resources.
Alpha-numeric HCPCS code informationexternal link
Modified: 8/1/2018
This page includes links to files that contain the Level II alphanumeric Healthcare Procedural Coding System (HCPCS) procedure and modifier codes; their long and short descriptions; and applicable Medicare administrative, coverage, and pricing data.
Core-based statistical areas for Puerto Rico ASCs
Modified: 7/19/2018
Ambulatory Surgical Centers (ASCs) need to know their CBSA code in order to determine the correct fees.
Fee Schedule Lookup Tutorial - Bundled Servicesflash file
Modified: 6/28/2018
This tutorial will assist you in determining if a procedure is part of a bundled service.
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.