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Positron emission tomography (PET) for oncologic conditions: Modifier usage

The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.

2023 fee schedule updates for HCPCS 96380 and 96381 - Puerto Rico and U.S. Virgin Islands

View pricing for two new codes for administration of nirsevimab for RSV infection.

2023 fee schedule updates for HCPCS 96380 and 96381

View pricing for two new codes for administration of nirsevimab for RSV infection.

2023 ambulance fee schedule

Here are payment allowances for ambulance services for services provided January 1-December 31, 2023 (revised).

2023 Fee schedule updates for HCPCS 96380 and 96381: Florida

View pricing for two new codes for administration of nirsevimab for RSV infection.

2022 ambulance fee schedule

Here are payment allowances for ambulance services for services provided January 1 - December 31, 2022.

Medicare physician fee schedule payment policy indicators

This provides definitions of the national policy indicators for each procedure code (and modifier, where applicable) on the Medicare physician fee schedule database (MPFSDB).

Vaccine pricing

View seasonal vaccine payment allowances and effective dates.

2024 Ambulatory Surgical Center (ASC) disclosures (revised)

View revised ASC disclosures for dates of service January 1-March 8 and March 9-December 31, 2024.

2024 anesthesia conversion factors for Puerto Rico: January 1-March 8

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.