Cpt - cms - medicare fees

duanemorrow wrote on Tuesday, October 10, 2006:

Does anyone know if the the fee amount in the CMS.HHS.GOV PFALL06.TXT files (cpt codes, modifiers, fees) has a modifier applied to it, or if its just the fee. Is the fee the amount you can expect medicare to pay?

sunsetsystems wrote on Tuesday, October 10, 2006:

As I understand it the modifier, when applicable, is an extension of the billing code.  So when you see a modifier in the fee schedule, the fee is for that combination of billing code and modifier.

Rod
www.sunsetsystems.com