Data field · Geographic area

Medicare payment indicator

A Medicare payment-policy indicator assigned to a healthcare procedure or service code.

Who carries it ↓

1Data sources

1Providers

0Free to access

Sources that carry it

1 source

Optum

Essential RBRVS Updateable Data File

Commercial multi-user subscription data file containing CMS-valued CPT/HCPCS codes, Optum gap values for codes not valued by Medicare, Medicare payment indicators, and component/total RVU content. This is a distinct full-file product, not an annual book edition or an EncoderPro module.

Paid Full file National US 4 fields

Need Medicare payment indicator at scale?

We compare every source that carries it on your own records — fill rate, freshness, definition — and bring the winner into production for you.