42 C.F.R. § 414.20
Formula for computing fee schedule amounts.
Cite as 42 C.F.R. § 414.20 (2026)
(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]
- Cross-references to the CFR
- 414.2