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Thread: Calculating Charges for E/M Codee

  1. #1

    Cool Calculating Charges for E/M Codee

    AAPC: Back to School

    I am a new kid on the block. I hope that you can assist. I would like to know how might I arrive at charge for a specific E/M code 99203 for a Medicare pt without a charge sheet?


  2. #2


    Yes. Go to emuniversity.com and go into the explanation of his weekly cases. He has a link where you can check on what would be charged in your area.

  3. #3


    Go to CMS http://www.cms.gov/apps/ama/license...._PFSsearch.asp

    screen 1---accept terms
    screen 2--select single HCPCS and pricing info
    screen 3 -- select you locality and default fields
    screen 4---enter the info you're looking for (be sure to select your locality)
    screen 5---for office services use the fee in "non-facility" column

    most offices set fees at 2x or 2.5 times MCare allowable

  4. #4


    You can go to your state's medicare fee schedule and find the allowance for 99203.

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