Fees

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Medicare Diabetes Prevention Program (MDPP) 2025 changes

Effective January 1, CMS has removed the MDPP bridge payment (HCPCS code G9890) from the 2025 fee schedule and updated the payment rates. Claims will be denied for HCPCS code G9890 for dates of…

2025 payment rates for home infusion therapy (HIT)

Download this zipped file compressed file for the locality adjusted rates for home infusion therapy for 2025.

Fee schedule par, nonpar, and limiting charge explanation

Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.

Determining the correct locality

This article will help finding the correct locality fee schedule.

Finding fee schedule policy indicators

How to find policy indicators such as gloabl days for a service, relative value units (RVUs) for a particular code, and more.

Fee schedule par, nonpar, and limiting charge explanation

Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.

Determining the correct locality

This article will help finding the correct locality fee schedule.

Differences between fee schedule file types

This article explains the differences between the First Coast Part B fee schedule lookup, PDF files, and zipped text files.

Finding fee schedule policy indicators

How to find policy indicators such as gloabl days for a service, relative value units (RVUs) for a particular code, and more.

Ambulatory surgical center (ASC) payment indicators (PI) for calendar year (CY) 2023

Each year CMS updates the list of payment indicators for procedures provided in an ASC. Here is the list for 2023.