2016 Medicare physician fee schedule releases

The service date decides which fee schedule applies. See what changed in the latest release, how one code moved over time in your payment locality, and the CMS file behind every period.

Latest: CMS RVU16D4 releases in 2016Chicago

On this page 4 sections
  1. What changed
  2. One code over time
  3. Release files and dates
  4. Reading a rate change

What changed in the latest release?

RVU16D (effective 2016-10-01) compared with RVU16C (2016-07-01) in Chicago: office/nonfacility base rates for common codes by specialty, non-QP basis where applicable.

0codes paid more
0codes paid less
19unchanged to the cent

Compare releases

Change the baseline or setting

Primary care↑ 0 higher · ↓ 0 lower · — 9 unchanged
Primary care: office/nonfacility rate changes
CodeRVU16CRVU16DChange
99202$80.08$80.08Unchanged
99203$117.08$117.08Unchanged
99204$178.19$178.19Unchanged
99205$223.90$223.90Unchanged
99211$21.01$21.01Unchanged
99212$46.34$46.34Unchanged
99213$77.85$77.85Unchanged
99214$114.52$114.52Unchanged
99215$154.80$154.80Unchanged
Behavioral health↑ 0 higher · ↓ 0 lower · — 5 unchanged
Behavioral health: office/nonfacility rate changes
CodeRVU16CRVU16DChange
90791$138.99$138.99Unchanged
90792$154.34$154.34Unchanged
90832$67.09$67.09Unchanged
90834$89.32$89.32Unchanged
90837$134.53$134.53Unchanged
Physical therapy↑ 0 higher · ↓ 0 lower · — 5 unchanged
Physical therapy: office/nonfacility rate changes
CodeRVU16CRVU16DChange
97110$34.15$34.15Unchanged
97112$35.64$35.64Unchanged
97140$31.22$31.22Unchanged
97530$36.41$36.41Unchanged
97535$37.12$37.12Unchanged

One code, compared over time

Showing 99214 in Chicago for 2016. These are this payment area’s base physician fees, not a national average. Change the code or locality to match your question.

Rate history

99214 in Chicago

99214 · Office / nonfacility

$114.52

Effective 2016-10-01

The base rate is unchanged from 2016-07-01: $114.52 in both releases.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

Standard / non-QP conversion factor where applicable. Unmodified service, before claim-level adjustments. A missing or unsupported rate stays unavailable.

Release files and effective dates

4 available releases in 2016. The latest accepted revision is shown for each effective start date. This is FeeBase’s loaded archive; it does not imply every historical CMS release is present.

Physician fee schedule releases with 99214 rates in Chicago
ReleaseEffective99214 office99214 facilityCodesLocalitiesLinks
RVU16DRevision 1until 2017-01-01 (excl.)$114.52$84.4414,31890Calculate 99214CMS source
RVU16CRevision 1until 2016-10-01 (excl.)$114.52$84.4414,30890Calculate 99214CMS source
RVU16BRevision 1until 2016-07-01 (excl.)$114.52$84.4414,29590Calculate 99214CMS source
RVU16ARevision 1until 2016-04-01 (excl.)$114.52$84.4414,28490Calculate 99214CMS source

Checking a past service? “Calculate” opens the RVU calculator with that release’s date, the code and the payment locality already selected.

What a rate change tells you

The comparison holds the code, setting and payment-locality identifiers constant. Each release supplies its own RVUs, geographic indexes and conversion factor. A difference shows the combined result of those inputs; it does not identify a single policy cause.

Browse current rates by code and locality · How FeeBase calculates a rate

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