Wiki Question on CMS fee payment schedule

[BarnettJ2]

Where can I find a fee schedule on the new codes and modifiers that have been added this year? I'm new and have never looked for this before. Thanks for all your help.

 

[fltbaroque]

If you know which codes you are looking for, you can access the fee schedule on CMS website:

https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx

 

[ntovatt]

How often are the fee schedules on the CMS website updated?
I want to make sure the fees we're billing are correct.
I read that it might be quarterly? The last update says 10/4/19, so is that to prepare for 2020 dates of service or the last quarter of 2019?

 

[CodingKing]

How often are the fee schedules on the CMS website updated?
I want to make sure the fees we're billing are correct.
I read that it might be quarterly? The last update says 10/4/19, so is that to prepare for 2020 dates of service or the last quarter of 2019?

Updated at least quarterly
RVU files have not been made available yet for 2020. Maybe late November early December

 

[ntovatt]

Are all codes in the CMS fee schedule updated quarterly or only specific codes?
If only specific codes, is there an area on their website where we can find out which codes were updated without having to review and compare each fee?

 

[CodingKing]

Q1 everything is updated, new codes, RVU and GPCI's. The Q2-4 updates could be any number if things (rvu adjustment, new temporary codes [G/Q/Cat III]), CMS will say in the MLN that is sent out.

July release had the most changes. Malpractice RVU was adjusted on ~800 codes.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM11293.pdf