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Wiki Physician Fee Schedule
- Thread starter codelady
- Start date
RebeccaWoodward*
True Blue
http://www.cms.hhs.gov/PhysicianFee...scending&itemID=CMS1218948&intNumPerPage=2000
To the left PFS Relative Value Files
Select RVU09AR under the downloads (select 2009 on your drop down key)
To the left PFS Relative Value Files
Select RVU09AR under the downloads (select 2009 on your drop down key)
den71ice
Networker
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
Thanks so much,
Denice, RHIT, CPC-H
RebeccaWoodward*
True Blue
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?
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
Networker
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!!
Thanks for your help!!
Joette
New
ASC office-based only codes
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.
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.
hardtail58
Guest
You also need to have a "Zip" program to open this file.
RebeccaWoodward*
True Blue
http://www.cms.hhs.gov/apps/ama/license.asp?file=/physicianfeesched/downloads/RVU10AR.zip
Open the PPRRVU10 Excel Spreadsheet
Walker22
Guest
Your local carrier should post a link to it on their website. My carrier is Cahaba, and it's very easy to get to.
Herbie Lorona
Expert
I am able to view the 2010 MPFS from Nordian's website so depending on what Medicare Jurisdiction you are in you might be able to get it from there website.