42 CFR 414.20 - Formula for computing fee schedule amounts.

Regulations last checked for updates: Oct 17, 2024

Title 42 - Public Health last revised: Oct 15, 2024

View all text of Subpart B [§ 414.20 - § 414.94]

§ 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]

authority: 42 U.S.C. 1302,1395hh,and

source: 55 FR 23441, June 8, 1990, unless otherwise noted.

cite as: 42 CFR 414.20