Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 20
Medicare Physicians Fee Schedule (MPFS)
20 - Medicare Physicians Fee Schedule (MPFS)
(Rev. 1, 10-01-03)
B3-15000
A/B MACs (B) pay for physicians’ services furnished on or after January 1, 1992, on the basis
of a fee schedule. The Medicare allowed charge for such physicians’ services is the lower of
the actual charge or the fee schedule amount. The Medicare payment is 80 percent of the
allowed charge after the deductible is met.
Chapter 23 provides a list of physicians’ services payable based on the Medicare Physician Fee
Schedule (MPFS).