2008 Fee Schedules

This page contains a lot of useful information on 2008 Fee Schedule. For easy navigation on this page, please use links below:

Medicare Physician Fee Schedules
Updates to the 2008 Medicare Physician Fee Schedule
Ambulance
Ambulatory Surgical Center (ASC)
Anesthesia Conversion Factors
Drug Pricing
Durable Medical Equipment, Prosthetics, and Orthotics (DMEPOS)
Labs
Mental Health
Vaccinations

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.

MENTAL HEALTH FEES NOTE: The mental health procedure codes listed in the full 2008 Medicare Physician Fee Schedule are effective for dates of service 01/01/08 - 06/30/08 only. For mental health fees for dates of service 07/01/08 - 12/31/08, please see the Mental Health section below.

State/Locality Types of Files
Iowa
To view additional information on procedures, access the
Medicare Physician Fee Schedule Database (MPFSDB)/Relative Value File(external link)
on the CMS website.
Download PDFAdobe Portable Document format
Kansas Download PDFAdobe Portable Document format
Nebraska Download PDFAdobe Portable Document format
Missouri Locality 01
(Updated 08/20/09)
Download PDFAdobe Portable Document format
Missouri Locality 02
(Updated 08/20/09)
Download PDFAdobe Portable Document format
Missouri Locality 99
(Updated 08/20/09)
Download PDFAdobe Portable Document format
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Updates to the 2008 Medicare Physician Fee Schedule

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

2008 Medicare Physician Fee Schedule News

2008 Medicare Physician Fee Schedule Database (MPFSDB) July Quarterly UpdateAdobe Portable Document format

July Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB)Adobe Portable Document format (Revised CMS MLN Matters)

April Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB)Adobe Portable Document format (CMS MLN Matters)

April Quarterly UpdateAdobe Portable Document format

October Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB)Adobe Portable Document format
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Ambulance

*Revised 07/30/08 - Each state has two ambulance fee schedule files. The first file contains ambulance fees effective 01/01/08-06/30/08, and the second file contains ambulance fees effective 07/01/08-12/31/08.

July 1, 2008 - December 31, 2008 January 1, 2008 - June 30, 2008
Iowa
Kansas
Missouri Eastern
Missouri Western
Nebraska
Iowa
Kansas
Missouri Eastern
Missouri Western
Nebraska
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Ambulatory Surgical Center (ASC)

For states of Iowa, Kansas, Missouri Eastern, Missouri Western and Nebraska.
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Anesthesia Conversion Factors

J5 MAC Revised 2008 Anesthesia Conversion Factors (Iowa, Kansas, Nebraska, and Missouri)
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Drug Pricing

Iowa, Kansas, Nebraska, and Missouri(external link)
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Durable Medical Equipment, Prosthetics, and Orthotics (DMEPOS)

Iowa, Kansas, Nebraska, and Missouri
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Labs

Automated Multi-Channel Test and Lab Paneling Pricing
2008 Automated Multi-Channel Test and Lab Paneling Pricing for Iowa
Clinical Laboratory
Iowa
Kansas
Missouri Eastern
Missouri Western
Nebraska
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Mental Health - Effective 07/01/08 - 12/31/08

Note: Please see the full 2008 Medicare Physician Fee Schedules for the 01/01/08 - 06/30/08 mental health fees.

Iowa
Kansas
Missouri Eastern
Missouri Western
Nebraska
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Vaccinations

Flu and Pneumonia Vaccine Coding and Allowance
Payment Allowances for the Influenza Virus Vaccine and the Pneumococcal Vaccine When Payment is Based on 95 Percent of the Average Wholesale Price (AWP) (MLN Matters)
2007 - 2008 Influenza (Flu) Season Resources for Health Care Professionals (Special Edition MLN Matters)
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Page Last Updated: Wednesday, 14-Dec-2011 16:11:24 CST