Friday, July 9, 2010

How much Medicare paid for office visit

Office codes Fee Schedule for FL

POS CPT Description MCR
Allowed		 Coins
20%		 Comment
Office 83014 HPYLORI DRUG ADMN $11.26 $2.25
Office 91110 GI TRC IMG INTRAL ESOPH THRU ILE PHYS I&R $643.25 $128.65
Office 99202 OFFICE VISIT NEW LEVEL 2 $52.08 $10.42
Office 99203 OFFICE VISIT NEW LEVEL 3 $75.84 $15.17
Office 99204 OFFICE VISIT NEW LEVEL 4 $117.87 $23.57
Office 99211 OFFICE VISIT EST. LEVEL 1 $14.53 $2.91
Office 99212 OFFICE VISIT EST. LEVEL 2 $29.92 $5.98
Office 99213 OFFICE VISIT EST. LEVEL 3 $50.57 $10.11
Office 99214 OFFICE VISIT EST. LEVEL 4 $76.01 $15.20
Office 99242 OFFICE CONSULTATION LEVEL 2


$0.00 Invalid CPT for the year 2010
Office 99243 OFFICE CONSULTATION LEVEL 3 $0.00 Invalid CPT for the year 2010
Office 99244 OFFICE CONSULTATION LEVEL 4 $0.00 Invalid CPT for the year 2010
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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