Medicare Fee Schedule Lookup

Look up RVU values and national payment rates for any CPT or HCPCS code in the Medicare Physician Fee Schedule. Shows facility and non-facility rates, global surgery periods, and billing indicators.

Common codes

Reading the fee schedule

Global surgery periods

090 — 90-day global (major surgery)
010 — 10-day global (minor surgery)
000 — 0-day global (endoscopic / minor)
XXX — Global period does not apply
ZZZ — Add-on code (inherits primary)

Facility vs. non-facility

The non-facility rate applies when the physician provides the service in their own office and bears the overhead cost.

The facility rate applies at hospitals, ASCs, and other settings where the site bears overhead — the physician receives less because the facility bills separately.

Geographic adjustment (GPCI)

Rates shown are national unadjusted amounts. Medicare adjusts each component (work, PE, MP) separately using locality-specific GPCI values. High-cost localities (NYC, SF) receive higher payments; rural areas receive lower.

Adj. payment = (wRVU × wGPCI + peRVU × peGPCI + mpRVU × mpGPCI) × CF

PC/TC indicator

0 — Physician service, no split
1 — Global, 26, and TC rows all exist
2 — Professional component only
3 — Technical component only

For PC/TC split codes (indicator 1), look up the same code with modifier 26 or TC for the component-only payment.

Multiple procedure indicator

0 — No reduction
1 or 2 — Standard 100% / 50% / 50%… rule
3 or 4 — Diagnostic imaging rule (50% for lower-value service)

Assistant surgeon indicator

0 — Not allowed — no payment
1 — Allowed with medical necessity
2 — Allowed, no restriction
9 — Concept does not apply

Assistant surgeons bill the same CPT with modifier 80. Medicare pays 16% of the primary surgeon's fee.