Tuesday, May 18, 2010

Medicare payment for E & M code 99201 - 99215

Here i have listed the allowed payment for Evaluation and Management code based on Florida Medicare. For your local medicare check with your state Medicare fee schedule and reimbursement.






99202 $66.20
99203 $96.40
99204 $149.82
99205 $188.46
99211 $18.46
99212 $38.03
99213 $64.27
99214 $96.61
99215 $130.40
99231 $37.98
99232 $68.41




















1 comments:

Roy D. Slater said...

My grandmother has been using NC medicare, thanks for the fee schedule. I'll have to pass the information on to her.

Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.


Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


Medicare Physician Fee Schedule Payment Rates Formula


The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download