CMS Physician Fee Schedule

What is the Medicare Physician Fee Schedule?

The Medicare Physician Fee Schedule (MPFS) is the complete listing of services covered and payable by Medicare and the rates at which they are paid.

It is essential for understanding reimbursement for physician services, including Evaluation and Management (E/M) visits and Osteopathic Manipulative Treatment (OMT). A comprehensive list of services covered by Medicare, along with their payment rates.

CMS Physician Fee Schedule Look-Up Tool:

Use this official online search tool to look up any specific service and find its: Physician Fee Schedule Search

  • Relative Value Units (RVUs), including the work, practice expense, and malpractice RVUs associated with the service.
  • Payment Policy Indicators, including special billing rules (assistant-at-surgery, bilateral surgery, etc.).
  • National Payment Amount, or the payment calculated using the service’s RVUs and the annual conversion factor.