CPI-U Updates

Nonmonetary Compensation, Medical Staff Incidental Benefits, and Limited Remuneration to a Physician Exceptions

The regulations at 42 CFR 411.357(k), (m), and (z) set forth exceptions to the physician self-referral law for certain nonmonetary compensation, medical staff incidental benefits, and limited remuneration to a physician, respectively. Under these exceptions, the compensation limits are adjusted each calendar year to the nearest whole dollar by the increase in the Consumer Price Index-Urban All Item (CPI-U) for the 12-month period ending the preceding September 30.

The percentage increase in the CPI-U for the 12-month period ending September 30, 2021 was +5.4 percent. Thus, for the calendar year beginning January 1, 2022, the compensation limit for the exception at § 411.357(k) is $452, and the value of any medical staff incidental benefits to be furnished in compliance with the exception at § 411.357(m)(5) is less than $39 per occurrence of the benefit. The limit on aggregate remuneration to a physician under the exception at § 411.357(z) is $5,270 in calendar year 2022.

The following table displays the compensation limits for each calendar year:

Calendar Year

Non-monetary compensation limit in accordance with §411.357(k)

Medical staff incidental benefit in accordance with §411.357(m)(5)

Limited remuneration to a physician in accordance with

§411.357(z)

% Change in

CPI-U

CY 2012

$373

Less than $31

n/a

+3.9%

CY 2013

$380

Less than $32

n/a

+2.0%

CY 2014

$385

Less than $32

n/a

+1.2%

CY 2015

$3921

Less than $33

n/a

+1.7%

CY 2016

$392

Less than $33

n/a

+0.0%

CY 2017

$398

Less than $33

n/a

+1.5%

CY 2018

$407

Less than $34

n/a

+2.2%

CY 2019

$416

Less than $35

n/a

+2.3%

CY 2020

$423

Less than $36

n/a

+1.7%

CY 2021

$429

Less than $37

$5,000

+1.4%

CY 2022

$452

Less than $39

$5,270

+5.4%

1 From November 9, 2016, through November 16, 2017, the CY 2015 nonmonetary compensation limit was inadvertently listed on this website as $395 instead of $392.

Page Last Modified:
12/02/2021 11:46 AM