Physician Fee Schedule | CMS

Get trainingFind tools to help you help othersGet digital mediaFind your provider typeBack tomenusection title h3Physicians & other health professionalsFacilitiesHealth & drug plansEmployers & unionsBreadcrumbMedicarePaymentFee schedulesPhysician Fee SchedulePhysician Fee SchedulePages in this sectionFee schedulesPhysician Fee ScheduleLook-Up ToolAdvanced Practice Nonphysician PractitionersAnesthesiologists CenterAudiology ServicesCare ManagementCognitive AssessmentCT Modifier Reduction ListDiagnostic Services by Physical TherapistsEvaluation & Management VisitsGlobal surgery data collectionMarriage and Family Therapists & Mental Health CounselorsMedicare PFS Preventive ServicesOpioid Use Disorder Screening & TreatmentPsychological and Neuropsychological TestsPsychotherapy for CrisisSkin SubstitutesFederal Regulation NoticesCarrier Specific FilesMedicare PFS Locality ConfigurationMedicare PFS Locality Configuration and StudiesMedicare PFS Locality KeyNational Payment Amount FilePFS Relative Value FilesPractice Expense Data & MethodsDMEPOS Fee ScheduleDMEPOS Competitive BiddingAmbulance Fee ScheduleClinical Laboratory Fee SchedulePhysician Fee ScheduleOn March 9, 2024, President Biden signed the Consolidated Appropriations Act, 2024, which included a 2.93 percent update to the CY 2024 Physician Fee Schedule (PFS) Conversion Factor (CF) for dates of service March 9 through December 31, 2024. This replaces the 1.25 percent update provided by the Consolidated Appropriations Act, 2023, therefore the CY 2024 CF for dates of service January 1 through March 8, 2024 is $32.74. CMS has implemented the new legislation by adjusting the CY 2023 CF of $33.07 by 2.93 percent and the budget neutrality adjustment for a CY 2024 CF of $33.29 for dates of service March 9 through December 31. CMS is also releasing updated payment files, including the MPFS and associated abstract files, the Ambulatory Surgical Center (ASC) FS, and Anesthesia file.Learn What's New for CY 2024CMS issued theCY 2024 Physician Fee Schedule (PFS)final rule that announces policy changes for Medicare payments under the PFS and other Medicare Part B payment policy issues. See asummary of key provisionseffective January 1, 2024.Frequently asked questions(PDF)about services to help address health-related social needs in the 2024 Physician Fee Schedule final rule:1. Caregiver training2. Social determinants of health risk assessment3. Community health integration4. Principal illness navigationThe PFSistheprimary method ofpaymentforenrolled health careproviders. Medicare uses the PFS when paying:Professional services of physicians and other health care providers in private practiceServices covered incident to physicians services (other than certain drugs covered as incident to services)Diagnostic tests (other than clinical laboratory tests)Radiology servicesCare ManagementFor a one-stop resource focused on new Care Management services under the Physician Fee Schedule, such as chronic care management and transitional care management services, visit theCare Managementwebpage.Physician CenterFor a one-stop resource focused on Medicare Fee-for-Service (FFS) physicians, visit thePhysician Centerwebpage.DownloadsRequest for Information- Reducing Scope of Practice Burden (PDF)Historical MPFSDB Layouts (PDF)CY 2019 PFS Proposed Rule Documentation Requirements and Payment for Evaluation and Management Visits and Advancing Virtual Care (PDF)1995 Documentation Guidelines For Evaluation and Management Services (PDF)Primary Care Incentive Program Payments for 2011 (PDF)1997 Documentation Guidelines For Evaluation and Management Services (PDF)Place of Service Codes for Professional Claims (PDF)Primary Care Incentive Program Payments for 2012 (PDF)FAQ on Billing G0453 for Remote Intraoperative Neurophysiology Monitoring (PDF)FAQs for CR 7502: Medicares 3-Day Payment Window and the Impacts on Wholly Owned or Wholly Operated Physician Practices (PDF)Development of A Validation Model for RVUs (PDF)FAQ for Mammography Services - Updated 1/18/17 (PDF)Related LinksCPEP Files - 02/23/2006HCPCS Level FileExample Calculation FileTelehealthPhysician CenterMedicare FFS Physician Feedback Program/Value-Based Payment ModifierTherapy ServicesPage Last Modified:03/18/2024 03:18 PMHelp with File Formats and Plug-InsfooterGet email updatesSign up to get the latest information about your choice of CMS topics. 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