Data source · Centers for Medicare & Medicaid Services

Medicare Physician Fee Schedule Relative Value Files and Look-Up Tool

CMS's standing PFS reference product: downloadable annual and quarterly relative-value/locality files plus a web lookup accepting a single code, code range, or code list and returning Medicare payment information for na…

FreeFull fileNationalUnited States

What it answers ↓

1Questions answered

8Fields delivered

1Country

Questions this answers

1 · best fit first

QuestionPrimary fit

Medicare service payment limits

CMS provides release-pinned Physician Fee Schedule relative-value, GPCI, locality, and conversion-factor files defining the Medicare pricing basis, together with a public lookup for buyer-selected CPT or HCPCS codes at national, MAC, or MAC-locality level. The artifact documents facility and nonfacility payment formulas and release-specific factors.

Fields it delivers

8 fields

Malpractice geographic index Malpractice relative value Medical fee schedule conversion factor Physician work geographic index Physician work relative value Practice expense geographic index Practice expense relative value Procedure payment status

CoverageNational

CMS publishes Medicare Physician Fee Schedule Relative Value Files and Look-Up Tool as a national Medicare payment reference. It may contain locality/provider-class carve-outs, and no separately coded U.S. territory footprint is asserted from the checked page.

Access & termsFree

The cited publisher route provides the data through a direct public download, API, or lookup without a subscription, order, membership, or per-use payment. Commercial services may repackage the data, but they are not required to access this source.

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