Medicare Physician Fee Schedule Lookup: How does the tool work and why should you use it?
Unlike complex billing manuals or dense spreadsheets, the PFS Lookup Tool is straightforward. You can search by year, procedure code, and even geographic location to find exactly what Medicare reimburses for a specific service. It also accounts for regional cost differences using a geographic practice cost index (GPCI), which adjusts payments based on where the service is delivered.LeBron James' reaction on the bench raises concern among fans who fear for his immediate futureFor example, a quick search of the code G0109, which covers group diabetesself-management training (DSMT), shows that Medicare reimburses $16.76 per person, per 30 minutes for non-facility care in 2025. That's valuable info for billing-and for explaining coinsurance costs to patients.Why accurate payment info isn't just for billing teams anymoreWith more patients asking about costs upfront and clinics needing to stay compliant, having immediate access to real Medicare […]