CMS Physician Fee Schedule Look-Up Tool
An official Medicare resource for looking up physician fee schedule amounts, relative value units, and payment policy information.
Ever wondered where to find the Medicare payment amount associated with a particular procedure code?
The CMS Physician Fee Schedule Look-Up Tool provides a searchable reference for Medicare Physician Fee Schedule information, including payment amounts, relative value units (RVUs), and selected payment policy indicators.
It's useful when checking a Medicare fee schedule amount, researching a reimbursement question, or exploring how payment information differs by geographic locality and facility setting.
Getting Started
Open the CMS Physician Fee Schedule Look-Up Tool and accept the applicable terms.
Select the fee schedule year and the type of information you want to view. Enter a HCPCS or CPT code, choose the appropriate locality or other search criteria, and review the results.
Pay attention to the year, locality, and facility or non-facility setting. Those details can affect which payment amount is relevant to your question.
The tool also provides options to explore RVUs and payment policy indicators when additional information is needed.
Good to Know
The Physician Fee Schedule is a Medicare reference, not a universal reimbursement calculator. Actual claim payments may depend on additional Medicare rules and claim details. Commercial insurance and Medicare Advantage reimbursement may follow different arrangements.
CMS also notes that the tool doesn't display MAC-priced codes or Medicare Part B non-payable codes.
Official Resources
CMS Physician Fee Schedule Look-Up Tool
CMS PFS Quick Reference Search Guide
Educational Disclaimer
Revenue Cycle Uncovered is an independent educational resource. Content is provided for general informational purposes and does not represent the policies, practices, or positions of any employer or organization. Workflows, payer requirements, regulations, and operational practices may vary. Information should be independently verified when applied to specific situations.