Medicare Physician Fee Schedule Lookup tools, analyzer
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Medicare Physician Fee Schedule Lookup


Use this practice management tool to look up the area-specific Medicare fee for a CPT® code.   Enter your own fee to compare it to area-specific Medicare fees for the years 2002, 2003, 2004, 2005, 2006, 2007, 2008, and 2009.   This physician fee lookup tool provides an easy crosswalk or match between your carrier & locality and zip code.

This tool is updated quarterly and annually to reflect Medicare's current fees.


Related Topics

2009 Medicare Fee Schedule

2008 Medicare Fee Schedule

2007 Medicare Fee Schedule

2006 Medicare Fee Schedule

2005 Medicare Fee Schedule

2004 Medicare Fee Schedule

2003 Medicare Fee Schedule

2002 Medicare Fee Schedule


Georgia Medicare Fee Schedule

Florida Medicare Fee Schedule

North Carolina Medicare Fee Schedule

South Carolina Medicare Fee Schedule

Tennessee Medicare Fee Schedule

Mississippi Medicare Fee Schedule


Physician Reimbursement

Physician Fee Schedule

CMS Fee Schedule





Related Web Sites
  • CMS/Medicare Fee Schedule Lookup
  • Download Medicare Fee Schedule
    • Medicare Fee Schedule Lookup
    Please enter the required information below for Medicare fee schedule information.


       1.  Enter your practice address Zip Code.    
       2.  Enter a 5-digit CPT Code and select Modifier.
            (include leading zeroes "0")
     CPT Code
    		 Modifier
       3.  Is service performed in a facility setting other than your office?     
       4.  Enter your usual and customary fee for comparsion.  $
          

    For service rendered in your office/facility, the Medicare fee for CPT code 99201 are:



    Medicare
    Year    		 Carrier Locality Par 2 Non-Par 3 Limiting
    Charge 4    		 Your Fee
    as a % of
    Medicare 4
    2009 00511 01 $23.50 $22.33 $25.68 0.00%
    2008 00511 01 $22.41 $21.29 $24.48 0.00%
    2007 00511 01 $22.59 $21.46 $24.68 0.00%
    2006 00511 01 $24.51 $23.28 $26.77 0.00%
    2005 00511 01 $24.39 $23.17 $26.65 0.00%
    2004 00511 01 $23.94 $22.74 $26.15 0.00%
    2003 00511 01 $23.57 $22.39 $25.75 0.00%
    2002 00511 01 $23.20 $22.04 $25.35 0.00%


    Chart.




    References
    1. CPT - Current Procedural Terminology codes copyrighted by American Medical Association.

    2. Par Fee - The fee allowed by Medicare for services provided by participating physicians. A participating physician agrees to accept Medicare's allowable as the full fee for the service provided. Medicare pays 80% of the allowed fee to the physician.

    3. Non Par Fee - The fee allowed by Medicare for services provided by non-participating physicians. This fee is 95% of the Medicare Par Fee. Medicare pays 80% of the Non-Par allowed fee to the patient or the physician depending on whether the non participating physician accepts assignment on the claim.

    4. Limiting Charge - The maximum amount that a non participating physician can charge a Medicare beneficiary. This amount is 115% of the Non Par Fee.
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