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What's the PFS Look-Up Tool? How Does the Tool Work? Why Should I Use This Tool? How Do We Adjust the PFS Pricing Amounts?
We update the Code List to conform to the most recent publications of CPT and HCPCS codes and to account for changes in Medicare coverage and payment policies.
Search by procedure name or. code. Type a procedure or code and select one from the list. Need help? Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments.
With Codify by AAPC cross-reference tools, you can check common code pairings. You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks. Our NCCI Edit tool will help you prevent denials from Medicare’s National Correct Coding Initiative edits.
The Physician Fee Schedule look-up website is designed to take you through the selection steps prior to the display of the information. The site allows you to: Search pricing amounts, various payment policy indicators, RVUs, and GPCIs by a single procedure code, a range and a list of procedure codes.
Talk to your doctor or other health care provider and ask if Medicare will cover the test, item, or service you need. Use this list to search by procedure code (CPT/HCPCS) if you’re a Medicare contractor, provider, or other health care industry professional.
Here is the Fee Schedule Code Search & Downloads main page: Let’s review the single code search. You must enter a Procedure Code, Modifier (if appropriate), Date of Service, State and Locality. Once you enter that information, you must click on Search.
The Medicare Physician Fee Schedule Lookup Tool (MPFS) is a handy resource for searching for pricing, codes, and payment indicators for Medicare-approved services. Below, we review how to perform a Medicare fee schedule lookup – including how it works, where to find your information, and how to use the data provided by the MPFS lookup tool.
Simply enter the HCPCS code and click “Search fees” to view Medicare’s reimbursement rate for the given service or item. You may enter up to five codes at a time or a range of codes.
No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services.