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Physician Fee Schedule

  1. Default Physician Fee Schedule
    Medical Coding Books
    Can anyone direct me to the link on CMS website for the Physician Fee Schedule.

    Thanks for your help.

    Margaret

  2. #2
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    North Carolina
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    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)

  3. #3
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    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

  4. #4
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    North Carolina
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    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?

  5. #5
    Default
    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!!

  6. Default 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.

  7. #7
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    Do anyone know when the 2010 physican fee schedule will be posted for view?

  8. #8
    Default
    You also need to have a "Zip" program to open this file.

  9. #9
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    North Carolina
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    Quote Originally Posted by coder1 View Post
    Do anyone know when the 2010 physican fee schedule will be posted for view?

    http://www.cms.hhs.gov/apps/ama/lice...ds/RVU10AR.zip

    Open the PPRRVU10 Excel Spreadsheet

  10. #10
    Default 2010 mediciare fee schedule
    Iam unable to get to the 2010 Medicare from this link. Can someone help? Really, does it always have to be this difficult. Thanks

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