Site Development Manual
:
Chapter 10
Exhibit 10-7: FEE SCHEDULE GUIDANCE: MEDICARE REIMBURSEMENT *
2001-2003
CPT Code
03 RVU
03 CF$
03 Reimb.
02 Reimb.
01 Reimb.
99201 New
0.95
35.42
32.65
32.85
34.36
99202
1.70
35.19
60.34
59.52
60.08
99203
2.52
35.52
89.51
88.97
88.73
99204
3.59
35.56
127.65
126.59
128.88
99205
4.58
35.60
163.04
161.16
162.93
99211 Est.
0.56
35.14
19.68
19.41
19.06
99212
0.99
35.38
35.03
34.90
34.72
99213
1.39
35.43
49.25
48.58
48.84
99214
2.17
35.47
76.97
76.27
76.30
99215
3.18
35.55
113.06
112.20
113.61
99241
1.29
35.46
45.74
45.46
48.09
99242
2.40
35.53
85.27
84.45
86.87
99243
3.17
35.54
112.65
112.14
114.69
99244
4.51
35.58
160.48
159.31
162.79
99245
5.85
35.61
208.29
206.47
213.04
Average Medicare Reimbursement CF$
$35.46 *
Average Commercial Reimbursement CF$
$39.57 **
Average CHC Fee Schedule CF$
$53.96 ***
Average Private Physician Fee Schedule CF$
$58.67 **
*
Source:
http://www.altapartnersllc.com
**
Source:
http://www.physicianspractice.com
***
Source: Informal CHC Survey (99213 Average Fee = $75.00 for year 2003)
