2007 Fee Schedules

Medicare Physician Fee Schedules

Review of Allowances for Carrier Priced Codes

In conjunction with the J5 system conversion, the Carrier Medical Directors have completed a review of the carrier-priced fees (C - Status on the MPFSDB) that previous contractors established for the states of Iowa, Missouri, Kansas, and Nebraska. There were several fee changes implemented. The fee schedules that follow reflect the revised pricing amounts. The pricing if effective based on the claim process date. Because of the data merge requirements for Eastern and Western MO, pricing changes were made in Missouri for 2007, 2008, and 2009. For Iowa, Kansas and Nebraska, only 2009 pricing was impacted.

In addition to the changes in pricing, some codes that may have been previously allowed in some of the J5 states will now be denied or subject to review. Those codes include the following:

0016T 0150T-TC 70559-TC
0144T 0150T-26 75952
0144T-TC 0151T 75952-TC
0144T-26 0151T-TC 75953
0145T 0151T-26 75953-TC
0145T-TC 70558 93572
0145T-26 70558-TC 93572-TC
0150T 70559 99082

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.

State Fee Files
Iowa Download PDF
Kansas Download PDF
Nebraska Download PDF
Missouri Locality 01
(Updated 08/05/09)
Download PDF
Missouri Locality 02
(Updated 08/05/09)
Download PDF
Missouri Locality 99
(Updated 08/05/09)
Download PDF


Other Fees

Please visit the Centers for Medicare & Medicaid Services (CMS) website(external link) for payment information on other fees.

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Page Last Updated: Wednesday, 14-Dec-2011 16:10:14 CST