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Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments
We update the Code List to conform to the most recent publications of CPT and HCPCS codes and to account for changes in Medicare coverage and payment policies.
The PFS Look-Up Tool helps you find Medicare payment amounts for each code so you can calculate the patient coinsurance amount. The PFS gives the limiting charge for nonparticipating providers and suppliers who treat Medicare patients.
Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments
Search pricing amounts, various payment policy indicators, RVUs, and GPCIs by a single procedure code, a range and a list of procedure codes. Search for the national payment amount, a specific Medicare Administrative Contractor (MAC) or a specific MAC locality.
The look-up tool will return information on services and procedures provided to beneficiaries enrolled in Original Medicare (fee-for-service), including use information, Medicare payment amounts, and submitted charges organized by Healthcare Common Procedure Coding System (HCPCS) code.
In November of 2018, CMS launched a new online tool, the Procedure Price Lookup. This unique consumer service allows users to compare Medicare payments and copayments for certain procedures that are performed in both hospital outpatient departments (HOPDs) and ASCs.
PFS Look-up Tool Overview; Search the Physician Fee Schedule; Documentation and Files; Help. Learn More; PFS Quick Reference Search Guide; Sample PFS Searches; Status Indicators
Healthcare Common Procedure Coding System (HCPCS) Lookup. Enter a HCPCS code in the search bar to view the description of the individual code.
On the Medicare Coverage Database (MCD) you can use ICD-10-CM codes to search for documents. Results will return Billing and Coding Articles or other documents that include the specified code. Close