Medicare Fee Schedule

The Medicare physician fee schedule pricing amounts are adjusted to reflect the variation in practice costs from area to area. A geographic practice cost index (GPCI) has been established for every Medicare payment locality for each of the three components of a procedure's relative value unit (i.e., the RVUs for work, practice expense, and malpractice). The GPCIs are applied in the calculation of a fee schedule payment amount by multiplying the RVU for each component times the GPCI for that component with the conversion factor (the 2017 CF is $35.7751).

CMS updates the physician fee schedules annually for dates of service on and after October 1 each year. The updates are released quarterly on January 1, April 1, and July 1 to accommodate new codes or rate adjustments.

The fee schedules are listed below in four different tables, these are national averages of the Medicare Fee Schedule to get the exact numbers for your locality go to CMS Physician Fee Schedule Look-Up Tool.

2017 Forms
2017 GPCI
Table I 2017 Medicare National Fee Schedule
Table II 2017 Medicare National Fee Schedule RVUs
Table III 2017 Medicare National Drug Fee Schedule

2016 Forms
2016 GPCI
Table I 2016 Medicare National Fee Schedule
Table II 2016 Medicare National Fee Schedule RVUs
Table III 2016 Medicare National Drug Fee Schedule