Friday, June 27, 2014

Bundled, Inactive, and Non-Payable Codes for 2014: Medicare Physician Fee Schedule Database

The Centers for Medicare & Medicaid Services (CMS) designates the status of HCPCS and CPT codes in the Medicare Physician Fee Schedule Database (MPFSDB). The status of codes may be updated periodically throughout the year and when the calendar year changes. Codes designated as Status A are active codes, are separately payable under the Medicare Physician Fee Schedule (assuming any existing coverage criteria are met), and have associated Relative Value Units (RVUs) and payment amounts.

The list of Status A codes is extensive, and these codes are not listed in the link below.

Here's the link to the status of all codes - except A codes.  This might help you better understand why some codes aren't billable with other codes - or why you aren't able to find RVUs for some codes.



Bundled Codes and Their Status

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