Finding Medicare Reimbursement Amounts

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December 17, 2015

Question:
Where can I find Medicare reimbursement amounts for the procedures I do?

Answer:
The Centers for Medicare and Medicaid Services (CMS) provides a means of computing Medicare reimbursement amounts for individual CPT codes on its website through the Medicare Physician Fee Schedule. To access the Medicare Physician Fee Schedule on the CMS website: Click here, choose “Physician Fee Schedule Search,” and follow the step-by-step instructions.

The site provides information on payment by code as well as Medicare payment policies, such as when co-surgery or assistant surgery is paid, which codes accept a bilateral modifier, and a list of relative value units (RVUs).

*This response is based on the best information available as of 12/17/15.