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Fee Schedules
Andrew McLaughlin avatar
Written by Andrew McLaughlin
Updated over a week ago

Fee Schedules

The Fee Schedules tool is a valuable resource for medical professionals looking to determine the reimbursement rates for medical procedures and services. This tool is available with Basic Coder, Pro Fee, and Complete Coder subscriptions and can be found under the 'Coding Tools' tab.

To use the Fee Schedules tool, follow these simple steps:

1. Click on the Fee Schedules under the 'Coding Tools' Tab

2. Enter the CPT® or HCPCS Level II code

3. Select the year and the quarter

4. Click Calculate

5. You can adjust the Medicare Carrier/Locality

6. Click Calculate

7. The results will include fees based on the Medicare Physician Fee Schedule (MPFS), Durable Medical Equipment Prosthetics/Orthotics & Supplies (DMEPOS), and Clinical Diagnostic Laboratory Fee Schedule (CLAB).

The results will also include:

  • National and local Facility and Non Facility fee schedules

  • RVUs for Facility and Non Facility

  • Professional component and technical component fee schedules for applicable codes

  • Global percentage splits for applicable codes

  • Global days

  • Indicator for endoscopic base codes

  • Medically Unlikely Edits

  • Modifier allowances and guideline explanations

With the Fee Schedules tool, you can easily find the reimbursement rates for medical procedures and services based on the specific codes used. This can help you accurately bill for your services and ensure proper reimbursement.

The Fee Schedules is available with Basic Coder, Pro Fee, and Complete Coder subscriptions. Upgrade your subscription today to access this valuable tool.

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