2009 Fee Schedules

Home Provider Part B Fees 2009 Fee Information

Medicare Physician Fee Schedules

Instructions for Downloading:
The fee schedules have been placed in two different file types. There is a pdf version for easy viewing/printing, while in the other column, the files have been placed in a zip file. Within the zip file, the fees have been placed in an Excel and pdf format for use.

To access the Excel files, you need software that can open ZIP files. If you do not currently have unzip software, please talk to your Systems department for recommendations.

State/Locality	Types of Files
Illinois Locality-12 (Updated 11/26/08)	Download How to Download	View in PDF
Illinois Locality-15 (Updated 11/26/08)	Download How to Download	View in PDF
Illinois Locality-16 (Updated 11/26/08)	Download How to Download	View in PDF
Illinois Locality-99 (Updated 11/26/08)	Download How to Download	View in PDF
Michigan Locality-01 (Posted 11/12/08)	Download How to Download	View in PDF
Michigan Locality-99 (Posted 11/12/08)	Download How to Download	View in PDF
Minnesota (Posted 11/12/08)	Download How to Download	View in PDF
Wisconsin (Updated 11/26/08)	Download How to Download	View in PDF
All States (Updated 11/26/08)	Download How to Download

For additional information on procedures, click here to access the Medicare Physician Fee Schedule Database (MPFSDB)/Relative Value File on the CMS Website .

Specialty Pricing

Chiropractic, Clinical Psychologist, and Psychological Services
The chiropractic, clinical psychologist, and psychological services fees are available in the Medicare Physician Fee Schedule.

Clinical Social Worker
The clinical social worker fees are available in the Medicare Physician Fee Schedule. To determine the fee, multiply the fee amount by 75%.

Medical Nutrition Therapy
The medial nutrition therapy fees are available in the Medicare Physician Fee Schedule. To determine the fee, multiply the fee amount by 85%.

Ambulance

Ambulatory Surgical Center (ASC)

Anesthesia

• Anesthesia Conversion Factors
• Anesthesia Base Units

Carrier-Priced (C Status) Codes

Drug Pricing

Durable Medical Equipment, Prosthetics, and Orthotics (DMEPOS)

Health Professional Shortage Area (HPSA)

• Health Professional Shortage Areas (HPSA)
• Mental Health Professional Shortage Areas
• Physician Scarcity Areas (PSA)
• HPSA/PSA Contact Information
• Procedure Codes Eligible for the HPSA/PSA Bonus Payments
• HPSA/PSA Appeal Requests
• Verify Automated HPSA Bonus Designation Status on the CMS Website
• Verify HPSA Status on the Health Resources and Services Administration (HRSA) Website

Labs

• Clinical Laboratory
• Automated Multi-Channel Test and Lab Paneling Pricing

Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses

Vaccinations (Influenza (flu) and Pneumococcal)

• Influenza Vaccine and the Pneumococcal Vaccine Payment Allowances Based on 95 Percent of the Average Wholesale Price (AWP) (CMS MLN Matters)
• 2008 - 2009 Influenza (Flu) Season Resources for Health Care Professionals (CMS Special Edition MLN Matters)

Note: Administration codes G0008, G0009, and G0010 are priced based on the MPFSDB fee for code 90471.

Prior Year Pricing

Click here for information on past pricing.

Page Last Updated: Wednesday, 31-Dec-2008 10:47:40 CST