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, 2022 was +8.2 percent. Thus, for the calendar year beginning January 1, 2023, the compensation limit for the exception at
§ 411.357(k) is $489, 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 $42 per occurrence of the benefit. The limit on aggregate remuneration to a physician under the exception at § 411.357(z) is $5,702 in calendar year 2023.

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

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.