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2025 Medicare Physician Fee Schedule

Find out what every medical code actually pays.

Stop leaving Medicare revenue uncollected. Look up the exact rate for any CPT code, catch the locality gaps that cost you, and head off denials before they happen — free.

8,303
CPT codes
109
Localities
1.7M
NCCI edits

Most-billed codes

99213E&M

Office o/p est low 20 min

$88.95non-facility
99214E&M

Office o/p est mod 30 min

$125.18non-facility
90837Mental Health

Psytx w pt 60 minutes

$154.29non-facility
20610Surgery

Drain/inj joint/bursa w/o us

$63.40non-facility
17000Surgery

Destruct premalg lesion

$66.31non-facility
93000Cardiology

Electrocardiogram complete

$13.91non-facility
Free Revenue Protection Toolkit
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Starts with the NCCI Hard-Stop Reference — the CPT pairs that auto-deny with no modifier override. More guides (Modifier 25, Modifier 59, denial prevention) are being added — subscribe once and get them as they drop.

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Look up any diagnosis code

98,000+ ICD-10-CM diagnosis codes, searchable by code or condition, with billable status and the release in effect on your date of service. Search ICD-10-CM

Know the rate before you bill

Bill with confidence using rates pulled straight from the CMS Physician Fee Schedule — updated the day CMS releases new figures, so you never quote a stale number.

Catch the locality gaps that cost you

The same code can pay $110 in San Jose and $92 in Fresno. We price every code across all 109 Medicare localities so you collect what your region actually pays.

Stop denials before they happen

Code-specific modifier guidance, the denial reasons that actually get claims rejected, and the appeal strategies that win — not generic advice.

Medicare rate data current as of December 23, 2024 (CMS Physician Fee Schedule RVU25A). Next scheduled CMS update: January 2026. About our data

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The NCCI Hard-Stop Reference and more denial-prevention guides. Free — enter your email to download.

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Reimbursement rates sourced from CMS Medicare Physician Fee Schedule RVU25A. Data accurate as of release date. For informational purposes only — verify with payer contracts before billing decisions.

CPT codes and descriptions are copyright 2024 American Medical Association. All Rights Reserved.

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