decisionhealth Newsletters, Answer Books - 2008 Issue 12 (December)
Physician_Fee_Schedule_Rules / 2003
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Article Overview
This article is a 2003 Medicare physician fee schedule reference that explains how Addendum B is organized and how to read the data elements used for physician service payment review. It is intended for coders, billers, compliance staff, and other reimbursement professionals who need to understand the general categories of information presented for CPT, HCPCS, and G codes in the fee schedule context.
Why This Topic Matters
It matters because the article defines the fields and indicators used in Medicare physician fee schedule data, helping users interpret how services are categorized for payment review without relying on the full premium addendum tables.
Article Sections
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Addendum A -- Explanation and Use of Addenda B
Introduces the 2003 Medicare physician fee schedule addenda and explains the purpose of the related tables. It also notes the kinds of services and code types addressed in the fee schedule materials.
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Addendum B--2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003
Describes the kinds of entries included in Addendum B and the general data elements shown for each service. The section outlines the information used to present payment-related details for physician fee schedule services.
What You Will Learn
- How the 2003 physician fee schedule addendum is organized
- What types of data elements are presented for services in Addendum B
- How the article distinguishes broad status indicators and global-period fields
- Which general categories of codes are included in the fee schedule reference
- How the document frames RVU-related information for physician services
Who Should Read This
- Medical coders
- Billing professionals
- Compliance staff
- Revenue cycle teams
- Physician practice administrators
- Health policy researchers
Codes Discussed
Modifiers Discussed
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