Medicare Physician Fee Schedule 2023

For those of you who got an early start, please go back and check the fees again as the revised fee schedule has just been posted. Please make sure you are using the most up to date fee schedule when sending your claims to Medicare or billing your patient prior to submitting claims if you are non-participating.

The Medicare Part B deductible in 2023 is $226.00

To assist you in accessing the 2023 Medicare Fee Schedule please follow the steps below.

Accessing the Medicare Physician Fee Schedule

The 2023 proposed Medicare fee schedule is available at www.ngsmedicare.com.

  • From the landing page Accept the attestation.
  • Under Access NGS MEDICARE
    • I am a... choose "Part B"
    • Please select... "New York"
    • Click "Enter"
  • From the Home Page in the upper right click Fee Schedules box
  • Under Fee Schedule lookup:
    • Select a Fee Schedule: select "Medicare Physician Fee Schedule Pricing"
    • Result type: select "Specific to Fee Code"
    • Date of service: select any date in 2023
  • Procedure code individually select 98940, 98941, 98942
  • Select your region NY 01, 02, 03, 04, 99
    • If you do not know your region: before clicking on Fee Schedule look up scroll down to Locality look up
      enter New York, your county, and click search.  Then proceed as above
  • After you enter your region, click Search and the fee schedule will load.
    • Participating providers (accepting Medicare assignment), use the NON FAC PAR fee and NON FAC LC.
    • Non-participating providers (not accepting Medicare assignment), may charge the NON FAC NON PAR fee.
    • You must still submit the bill to Medicare
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