Fee Schedules

The questions and answers below apply to the recent decision by the CMS to hold claims paid under the Medicare physician fee schedule up to 10 business days that contain July 2008 dates of service. [JSM 08389, PERL 200807-04]

To the extent possible, CMS is working with Congress, health care providers, and the beneficiary community to avoid disruption in the delivery of health care services and payment of claims. [JSM 08382, PERL 200806-24]

To access a file containing the quarterly additions and deletions to the list of ZIP Codes requiring a plus four extension refer to this link to the CMS Web site. [CR 5970]

Payment for services paid under the Medicare Physician Fee Schedule is determined by the ZIP code where the services are rendered. Certain ZIP codes fall into more than one payment locality and require a plus four ZIP code extension. [MM5970]

[CMS Pub. 100-04/1102, CR 5358]

[CR 5417]

[CR 5362]

[CR 5448]

The following fee schedules are effective for mammography services furnished on or after January 1, 2007. [CR 5448]

[CR 5417]