MPFS Resources

Note: Codes that have a $0 (zero) fee schedule amount will not display a search result. You must select Details to view policy indicator information. Full descriptions for policy indicators and values displayed can be found on the Fee [...]

Overpayment Recovery Tool Page Top

Overpayment Recovery Tool The Overpayment Recovery Tool will allow you to quickly access information regarding overpayments identified by the DME MAC. Once you receive your overpayment demand letter, this tool will allow you [...]

LCD and Associated Billing and Coding Article Updates for July/August 2021

LCD and Associated Billing and Coding Article Updates for July/August 2021 July 2021 Billing and Coding: Denosumab (Prolia ™, Xgeva ™) (A52399) The following clarification has been added to the Documentation Requirements for [...]

Fee Schedule Lookup

GlobalPeriodCalculator Top

90-Day Global Period Calculator for Major SurgeriesTo determine when the global period ends for a major surgical procedure with a 90-day global period, please enter the date of the surgery in MM/DD/YY or MM/DD/YYYY format and select Calculate. [...]

90-Day Global Period Calculator

PTAN, HICN, MBI, DCN Converter Top Content

This tool will convert your Provider Transaction Access Number (PTAN), the beneficiary's Medicare Health Insurance Claim number (HICN), or the Medicare Beneficiary Identifier (MBI), and/or the Document Control Number (DCN) into a numeric format [...]

Beneficiary Name to Number Converter Bottom Content

Enter the numeric sequence returned below in the Phone Value = field into the IVR exactly as it appears (including the #).

Beneficiary Name to Number Converter Top Content

This tool will help you to convert the beneficiary's name into a numeric format for easy input into the National Government Services interactive voice response (IVR) system.In the Name = field, enter the beneficiary's name using the following [...]

PTAN, HICN, MBI, DCN Converter Bottom Content

Enter the numeric sequence returned below in the Phone Value = field into the IVR exactly as it appears (including the #).Reminder: You can also key in the beneficiary's HICN/MBI by keying the numbers and using the information in the IVR [...]

Interactive Voice Response Conversion Tools

Check Provider Enrollment Application Status

Podiatry Bottom Page

Note: Routine foot care services are considered medically necessary once (1) in 60 days. More frequent services will be considered not medically necessary. There must be 60 full days between the dates of service for routine foot care coverage.

Podiatry Top Page

Podiatry CalculatorUse this calculator to determine the next eligible date that the patient can receive coverage for routine foot care. Please enter the date of service the patient last received podiatry care in MM/DD/YY or MM/DD/YYYY format [...]

Podiatry Calculator

G0179 Frequency Calculator

Enrollment

Enrollment