J5 MAC Part B Providers serving beneficiaries in Iowa, Kansas, Missouri and Nebraska

2010 Medicare Physician Fee Schedules

How to use different types of files :
The fee schedules have been placed in two different file types. There is a PDF version for easy viewing/printing, while in the other column, the files have been placed in a .zip file. Within the .zip file, the fees have been placed in an Excel and PDF format for use.

To access the Excel files, you need software that can open .zip files. If you do not currently have unzip software, please talk to your Systems department for recommendations.

Correction to the Fees Effective January 1, 2010 - May 31, 2010:
On April 15, 2010, President Obama signed into law the "Continuing Extension Act of 2010." This law extends through May 31, 2010, the zero percent update to the MPFS that was in effect for claims with dates of service January 1, 2010, through March 31, 2010. In addition, the 2010 Work GPCIs, the MPFSDB Conversion Factors, numerous Work RVUs and the 2010 Anesthesia Conversion Factors have been changed to incorporate current legislation.

New Fee Schedule files were issued to correct the Outpatient Prospective Payment System Caps for Positron Emission Tomography and Bone Density Scan Codes.

The fees posted below reflect the zero percent update, all other legislative changes and the correction to the Pet and Bone density codes.


State/Locality Types of Files
Iowa
(EFFECTIVE 01/01/10-05/31/10. REVISED 07/14/10)
 Download zip file PDF adobe portable format
Kansas
(EFFECTIVE 01/01/10-05/31/10. REVISED 07/14/10)
 Download zip file PDF adobe portable format
Missouri Locality 01
(EFFECTIVE 01/01/10-05/31/10. REVISED 07/14/10)
 Download zip file PDF adobe portable format
Missouri Locality 02
(EFFECTIVE 01/01/10-05/31/10. REVISED 07/14/10)
 Download zip file PDF adobe portable format
Missouri Locality 99
(EFFECTIVE 01/01/10-05/31/10. REVISED 07/14/10)
 Download zip file PDF adobe portable format
Nebraska
(EFFECTIVE 01/01/10-05/31/10. REVISED 07/14/10)
 Download zip file PDF adobe portable format

Fees Effective June 1, 2010 - November 30, 2010:

On June 25, 2010, President Obama signed into law the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010. This legislation provides for a 2.2 percent update to the 2010 Medicare Physician Fee Schedule (MPFS), effective for dates of service June 1, 2010, through November 30, 2010. The Fee Schedules below reflect the 2.2% update.


State/Locality Types of Files
Iowa
(EFFECTIVE 06/01/10-11/30/10. POSTED 07/14/10)
 Download zip file PDF adobe portable format
Kansas
(EFFECTIVE 06/01/10-11/30/10. POSTED 07/14/10)
 Download zip file PDF adobe portable format
Missouri Locality 01
(EFFECTIVE 06/01/10-11/30/10. POSTED 07/14/10)
 Download zip file PDF adobe portable format
Missouri Locality 02
(EFFECTIVE 06/01/10-11/30/10. POSTED 07/14/10)
 Download zip file PDF adobe portable format
Missouri Locality 99
(EFFECTIVE 06/01/10-11/30/10. POSTED 07/14/10)
 Download zip file PDF adobe portable format
Nebraska
(EFFECTIVE 06/01/10-11/30/10. POSTED 07/14/10)
 Download zip file PDF adobe portable format

Updates to the 2010 Medicare Physician Fee Schedule

Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database (MPFSDB) and Retroactive Provisions under the Patient Protection and Affordable Care Act (Pub. L. 111-148) (the Affordable Care Act) (CMS MLN Matters) adobe portable format

July Update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB) (CMS MLN Matters) adobe portable format

Emergency Update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB) (CMS MLN Matters) adobe portable format

Important Links

For additional information on procedures, including relative value units, a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.) you may wish to access the Medicare Physician Fee Schedule Database (MPFSDB)/ Relative Value File on the CMS Website.

CMS offers the complete file in several different formats and also provides a single code look up.

Access the Medicare Physician Fee Schedule Database (MPFSDB)/Relative Value File external link on the CMS Website.

Access the Medicare Physician Fee Schedule Database (MPFSDB)/Fee Schedule Look-Up external link.

 

 

Page Last Posted: Thursday, 22-Jul-2010 12:13:34 CDT