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Code of Federal Regulations (Last Updated: May 6, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 414 - Payment for Part B Medical and Other Health Services |
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Subpart B - Physicians and Other Practitioners |
§ 414.20 - Formula for computing fee schedule amounts.
Latest version.
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§ 414.20 Formula for computing fee schedule amounts.
(a) Participating supplier. The fee schedule amount for a participating supplier for a physician service as defined in § 414.2 is computed as the product of the following amounts:
(1) The RVUs for the service.
(2) The GAF for the fee schedule area.
(3) The CF.
(b) Nonparticipating supplier. The fee schedule amount for a nonparticipating supplier for a physician service as defined in § 414.2 is 95 percent of the fee schedule amount as calculated in paragraph (a) of this section.
[62 FR 59101, Oct. 31, 1997]