Physician Fee Schedule

codelady · #1 10-27-2009, 01:51 PM

Can anyone direct me to the link on CMS website for the Physician Fee Schedule.

Thanks for your help.

Margaret

rebeccawoodward · #2 10-27-2009, 01:58 PM

http://www.cms.hhs.gov/PhysicianFeeS...umPerPage=2000

To the left PFS Relative Value Files

Select RVU09AR under the downloads (select 2009 on your drop down key)

den71ice · #3 10-29-2009, 05:23 AM

I am actually looking for a list of CMS approved CPT codes that can only be performed in the office setting. Is this something you can lead me to, a link perhaps?

Thanks so much,
Denice, RHIT, CPC-H

rebeccawoodward · #4 10-29-2009, 07:48 AM

I'm not aware of a list such as this. There is an "inpatient only" list but I haven't seen a list for "CMS approved CPT codes that can only be performed in the office setting".

You could check with the physician fee schedule and determine if the service could be performed as an outpatient/office setting by reviewing to see if there is a "non-facility" fee shedule assigned to the code.

http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp

Anyone know of a office setting list?

den71ice · #5 11-03-2009, 08:46 AM

Thank you, as I thought there was no such a list. This is due in part to the 2007 ASC change in payment methology. I just need confirmation for my employer.

Thanks for your help!!

Joette · #6 11-09-2009, 08:09 AM

The Outpatient Hospital/ASC Rule does identify office-based codes. In Addendum AA they have a P2 or P3 indicator. These are surgical codes that if performed in an ASC will be paid as being performed in the office. They will not be eligible for a facility payment. CMS added six new office-based procedures to the list for 2010. They are CPT codes 15852, 19105, 20555, 36420, 50386, and 57022. See the final rule on CMS website for a complete discussion of the office-based codes for ASC.