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Looking for MD, DCMA, DE fees? Fees are scheduled for electronic delivery this week and will be available on this calculator as soon as possible.

This page allows you to view the 2008 Medicare Physician Fee Schedule allowance for Pennsylvania by charge class and procedure code. You must select a charge class before entering a procedure code. Please keep in mind the Medicare Fee Schedule periodically changes and the most current fee may not be represented here. We strive to keep this page updated with the most current fee schedule information.

Pennsylvania has two payment areas for physician services. They are charge classes 01 and 99. Pennsylvania charge class 01 consists of the following 5 counties: Bucks, Chester, Delaware, Montgomery, Philadelphia. Pennsylvania charge class 99 covers the remainder of the state.

If you are a Health Care Professional who submits claims to Medicare, please take note. There may be codes listed for which you are not eligible to bill Medicare due to your specialty designation or Medicare coverage limitations.

Looking for more detailed fee information? Access CMS's Fee Schedule Look-Up site.

State & Charge Class

Procedure Code

First select a charge class followed by a procedure code.

 

If you are interested, you can also download the complete Medicare Physician Fee Schedule for Pennsylvania by charge class in PDF, Microsoft excel, and text formats.

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