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CMS Medicare Physician Fee Schedule Search Tool Available

Coding Corner

The information provided here applies to Medicare coding. Be sure to check with your Medicare Administrative Contractor (MAC) for additional information and clarification on these and other items. You should also contact your local insurance carriers to determine if private insurers follow Medicare's lead on all coding matters.

CMS Medicare Physician Fee Schedule Search Tool Available
Proper coding is a complex endeavor that relies on the inclusion of correct numerical values on submitted claims. There is a physician fee schedule look-up feature on the Centers for Medicare and Medicaid Services’ (CMS) website that will allow you to look up both location-specific payment by Current Procedural Terminology Fourth Edition (CPT)/Healthcare Common Procedure (HCPC) codes and the Relative Value Unit (RVU) for any given code. You can find the CMS tool at www.cms.hhs.gov/apps/ama/license.asp?file=/pfslookup/02_PFSsearch.asp.