RVUs

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Question:

What is the difference between a facility versus non-facility on Medicare’s fee schedule?

Answer:

The difference refers to the place of service where the activity/CPT code was performed. Medicare’s physician fee schedule reimburses differently for a CPT code performed in a facility (e.g., hospital) differently than it does a non-facility (physician office). Generally, the reimbursement is higher in the non-facility setting because the physician incurs the practice expense for providing the service.