42 C.F.R. § 414.20

Current through October 31, 2024
Section 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.

42 C.F.R. §414.20

62 FR 59101, Oct. 31, 1997