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The PFS Look-Up Tool helps you find Medicare payment amounts for each code so you can calculate the patient coinsurance amount. The PFS gives the limiting charge for nonparticipating providers and suppliers who treat Medicare patients.
List of CPT/HCPCS Codes. We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions.
With Codify by AAPC cross-reference tools, you can check common code pairings. You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks. Our NCCI Edit tool will help you prevent denials from Medicare’s National Correct Coding Initiative edits.
Contribute. Physician’s Fee Schedule Code Search & Downloads.
Search by procedure name or. code. Type a procedure or code and select one from the list. Need help? Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments.
Current Procedural Terminology (CPT) bird-flu vaccine codes created in advance of possible emergency-use authorization, if needed. Review the criteria for CPT® Category I, Category II and Category II codes, access applications and read frequently asked questions.
Our NCCI tool provides steps you can take to prevent these NCCI denials: First, know if NCCI edits apply to the services you are submitting. Search for coding pairs by entering your major procedure code. The search results show coding pair lists entitled Column I or Column II.