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.

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 the CMS Physician Fee Schedule Look-Up Tool.

2021 Fee Schedule
2021 GPCI
Table I 2021 Medicare National Fee Schedule
Table II 2021 Medicare National Fee Schedule RVUs
Table III 2021 Medicare National Drug Fee Schedule

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