Corporate

April 23, 2014

2014 MPFSDB HHH Fee Schedule

Facility and Non-Facility RVU changes led to fee changes for certain codes on the MPFSDB fee schedules. The codes and fees are detailed below. These revised fees are effective January 1, 2014. All other fees remain unchanged  due to the President signing into law the “Protecting  Access to Medicare Act 2014” averting the expiration of the 0.5% update to the physician fee schedule conversion factor and the 1.0 work floor GPCI that will remain in effect until December 31, 2014. 

State Carrier Number Locality HCPCS  Modifier Non Facility Fee
DE 12102 01 77293   $474.58
DE 12102 01 77293 TC $369.18
DOC 12202 01 77293   $541.57
DOC 12202 01 77293 TC $427.58
CO 04112 01 77293   $462.60
CO 04112 01 77293 TC $358.56
IA 05102 00 77293   $416.06
IA 05102 00 77293 TC $317.15
KS 05202 00 77293   $420.07
KS 05202 00 77293 TC $319.76
MD 12302 99 77293   $474.28 *Rest of State
MD 12302 99 77293 TC $368.51 *Rest of State
MD 12302 01 77293   $499.41 *Baltimore and Surrounding counties
MD 12302 01 77293 TC $390.26 *Baltimore and Surrounding counties
MO 05302 99 77293     *Rest of State
MO 05302 99 77293 TC   *Rest of State
MO 05302 02 77293     *Metro Kansas City
MO 05302 02 77293 TC   *Metro Kansas City
MO 05302 01 77293     *Metro St.Louis
MO 05302 01 77293 TC   *Metro St.Louis
MT 03202 01 77293   $460.26
MT 03202 01 77293 TC $355.78
NE 05402 00 77293   $420.92
NE 05402 00 77293 TC $322.08
ND 03302 01 77293   $457.78
ND 03302 01 77293 TC $355.05
PA 12502 99 77293   $429.49 *Rest of State
PA 12502 99 77293 TC $327.67 *Rest of State
PA 12502 01 77293   $490.68 *Metro Philadelphia
PA 12502 01 77293 TC $381.82 *Metro Philadelphia
SD 03402 02 77293   $457.31
SD 03402 02 77293 TC $355.51
UT 03502 09 77293   $429.04
UT 03502 09 77293 TC $326.98
VA 11302 00 77293   $451.05
VA 11302 00 77293 TC $348.53
WV 11402 16 77293   $396.10
WV 11402 16 77293 TC $296.11
WY 03602 21 77293   $460.50
WY 03602 21 77293 TC $355.80

Two Vantage Way, Nashville, TN 37228 © CGS Administrators, LLC. All Rights Reserved