NHIC California Providers

NHIC, Corp.

Header Graphic

California Home

What's New from CMS

Contact Information

Written Inquiries

Website Feedback

Enrollment

Enrollment Info

Enrollment Forms

Opt Out Providers

Participating Directory

Billing Support

Self-Service Tools

LCDs/Policy Indices

MSP & Overpayments

EDI

Electronic Data Interchange

Payment Support

Electronic Funds Transfer

Education

Educational Articles

Education Online

Educational Programs

Provider Outreach &
Education Advisory Group

Resources

National Provider Identifier (NPI)

Related Web Sites

Fee Schedules and Related Information

This page contains the most current Medicare fee schedules and related information. There is also a link to archived fee schedules for the past two years.

Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).

2008 | 2007 | Fee Schedule Archive (2006 & 2005)

2008 Fee Schedules - Revised
File Title	Effective Date	Region
Ambulance
Ambulance Fee Schedule - Revised	01/01/2008	Northern California
Ambulance Fee Schedule - Revised	01/01/2008	Southern California
Anesthesia Conversion Factors
Anesthesia Conversion Factors - Revised	01/01/2008	All California
ASC Pricing Updates
ASC Fee Schedules - Revised	01/01/2008	All California
Chiropractor
Chiropractor Fee Schedule - Revised	01/01/2008	All California
Clinical Lab Updates
Clinical Lab Fee Schedule - Revised	01/01/2008	Northern California
Clinical Lab Fee Schedule - Revised	01/01/2008	Southern California
Clinical Psychologist
Clinical Psychologist Fee Schedule - Revised	01/01/2008	All California
Drug Pricing Updates
Allowance Limits for Medicare Part B Drugs - April	04/01/2008-06/30/2008	All California
Allowance Limits for Medicare Part B Drugs - Revised April	01/01/2008-03/31/2008	All California
Allowance Limits for Medicare Part B Drugs - Revised	01/01/2008-03/31/2008	All California
Influenza - Administration Fee - Revised	1/1/2008	All California
Tositumomab - Administration & Supply Fee - Revised	1/1/2008	All California
Durable Medical Equipment
Durable Medical Equipment, Prosthetics, Orthotics & Supplies	01/01/2008	All California
Licensed Clinical Social Worker (LCSW)
Licensed Clinical Social Worker Fees - Revised	01/01/2008	All California
Revised Physician Fee Schedules - 2008
Legislative Change Affecting the 2008 Medicare Physician Fee Schedule (MPFS), and Extension of the 2008 Participation Open Enrollment Period (JSM 08096)
2008 Medicare Participating Physician or Supplier Agreement Mail completed application to: Provider Enrollment, P.O. Box 2812, Chico, CA 95927-2812
2008 Added HCPCS Codes
2008 Deleted HCPCS Codes
Fee Schedule Disclaimer: Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.
For optimal printing of Text Files with Microsoft Internet Explorer: Open the text file you need. Go to the Tool Bar at top of page. Select "View", Select "Text Size", Choose "Smallest". Make sure the printer mode is in "Landscape". Print the file.
File Title	Effective Date	Formats - Which should I use?
Fee Schedule Area 03 (Marin, Napa, and Solano Counties)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 05 (San Francisco County)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 06 (San Mateo County)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 07 (Alameda and Contra Costa Counties)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 09 (Santa Clara County)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 99 (All other Northern California Counties)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 17 (Ventura County)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 18 (Los Angeles County)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 26 (Orange County)	01/01/2008	Download Text File	Download CSV File	View PDF
Fee Schedule Area 99 (Imperial, San Diego, Santa Barbara, and San Luis Obispo Counties)	01/01/2008	Download Text File	Download CSV File	View PDF
Physician Fee Schedule Updates
April Update to the Fee Schedule	01/01/2008	Fee Updates Update to the Indicators
Portable X-Ray
Portable X-Ray Transportation Fees - Revised	01/01/2008	All California
Radiopharmaceuticals
Radiopharmaceuticals - Revised	01/01/2008	All California
Splints & Casts
Splints & Cast Supplies	01/01/2008	All California

2007 Fee Schedules
File Title	Effective Date	Region
Ambulance
Ambulance Fee Schedule	01/01/2007	All California
Anesthesia Conversion Factors
Anesthesia Conversion Factors- Revised 12/21/06	01/01/2007	All California
ASC Pricing Updates
ASC Group Rates	01/01/2007	Northern California
ASC Group Rates	01/01/2007	Southern California
ASC Changes - Adds/Deletes	01/01/2007	All California
ASC Listing of Codes	01/01/2007	All California
Chiropractor
Chiropractors Fee Schedule- Revised 12/21/06	01/01/2007	All California
Clinical Lab Updates
Clinical Lab Fee Schedule	01/01/2007	Northern California
Clinical Lab Fee Schedule	01/01/2007	Southern California
Pricing Equivalency for Automated Tests	01/01/2007	All California
Clinical Psychologist
Clinical Psychologists Fee Schedule- Revised	01/01/2007	All California
Drug Pricing Updates
Administration Fees - Influenza Revised 1/04/07	01/01/2007	All California
Allowance Limits for Medicare Part B Drugs - Revised April 2008	10/01/2007-12/31/2007	All California
Allowance Limits for Medicare Part B Drugs - October	10/01/2007-12/31/2007	All California
Allowance Limits for Medicare Part B Drugs - July Revised	07/01/07-09/30/07	All California
Allowance Limits for Medicare Part B Drugs - April Revised	04/01/2007-06/30/2007	All California
Allowance Limits for Medicare Part B Drugs - January Revised	01/01/2007-03/31/2007	All California
Allowance Limits for Medicare Part B Drugs	04/01/2007-06/30/2007	All California
Allowance Limits for Medicare Part B Drugs - January Revised	01/01/2007-03/31/2007	All California
Allowance Limits for Medicare Part B Drugs	01/01/2007-03/31/2007	All California
Durable Medical Equipment
Durable Medical Equipment, Prosthetics, Orthotics & Supplies - April Update	01/01/2007	All California
Durable Medical Equipment, Prosthetics, Orthotics & Supplies- Revised 1/04/07	01/01/2007	All California
Imaging Services - CAP Payment Amount (CR 5357)
CAP Payment Amount of Imaging Services	Revised 2/26/07 Effective 1/01/07	Northern California
CAP Payment Amount of Imaging Services	Revised 2/26/07 Effective 1/01/07	Southern California
CAP Payment Amount of Imaging Services	1/01/2007	Northern California
CAP Payment Amount of Imaging Services	1/01/2007	Southern California
Licensed Clinical Social Worker (LCSW)
Licensed Clinical Social Workers Fee Schedule - Revised	01/01/2007	All California
Physician Fee Schedules-2007
July 2007 Update to the Fee Schedule - Due to the changes in the formatting, we are adding the July 2007 updated Physician Fee Schedules. The new fee schedules include the OPPS cap amount when applicable.
Cover Letter and Anesthesia Conversion Factors- Revised
Legislative Change to the Update Factor for the 2007 Medicare Physician Fee Schedule (MPFS) and Extension of the Participating Enrollment Period (MM 5448)
Announcement About Medicare Participation for 2007
Medicare Participating Physician or Supplier Agreement
2007 Added HCPCS Codes
2007 Deleted HCPCS Codes
Fee Schedule Disclaimer: Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.
For optimal printing of Text Files with Microsoft Internet Explorer: Open the text file you need. Go to the Tool Bar at top of page. Select "View", Select "Text Size", Choose "Smallest". Make sure the printer mode is in "Landscape". Print the file.
File Title	Effective Date	Formats - Which should I use?
Fee Schedule Area 03 (Marin, Napa, and Solano Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 03 (Marin, Napa, and Solano Counties)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 05 (San Francisco County)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 05 (San Francisco County)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 06 (San Mateo County)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 06 (San Mateo County)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 07 (Alameda and Contra Costa Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 07 (Alameda and Contra Costa Counties)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 09 (Santa Clara County)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 09 (Santa Clara County)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 99 (All other Northern California Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 99 (All other Northern California Counties)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 17 (Ventura County)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 17 (Ventura County)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 18 (Los Angeles County)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 18 (Los Angeles County)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 26 (Orange County)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 26 (Orange County)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Fee Schedule Area 99 (Imperial, San Diego, Santa Barbara, and San Luis Obispo Counties)	01/01/2007 Revised 12/21/06	Download Text File	Download CSV File	View PDF
Fee Schedule Area 99 (Imperial, San Diego, Santa Barbara, and San Luis Obispo Counties)	01/01/2007 Posted 07/02/07	Download Text File	Download CSV File	View PDF
Physician Fee Schedule Updates
October Update to the Fee Schedule	01/01/2007	Fee Updates Update to the Indicators
July Update to the Fee Schedule	01/01/2007	Fee Updates Update to the Indicators
April Update to the Fee Schedule	01/01/2007	Fee Updates Update to the Indicators
Update to the Fee Schedule	01/01/2007	Fee Corrections/Additions Update to the Indicators
Portable X-Ray
Portable X-Ray Equipment Transportation	01/01/2007	All California
Radiopharmaceuticals
Tositumomab - G3001	01/01/2007	All California
Radiopharmaceuticals	01/01/2007	All California
Splints & Casts
Splints & Casts	01/01/2007	All California

04/03/2008