R13361CP

Dynamic List Information
Dynamic List Data
Transmittal #
R13361CP
Issue Date
2025-09-05
Subject

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October
2025 Update

Implementation Date
2025-10-06
CR #
14208
Provider Education
MLN Connects Newsletter Message
Provider Education Release Date
2025-09-11
Publication #
100-04
Transmittal Year
2025

MLN Connects® Newsletter Message

Medicare Physician Fee Schedule Database: October Update

See the instructions to your Medicare Administrative Contractor (MAC) (PDF) to learn about the October quarterly updates to the Medicare Physician Fee Schedule Database, including:

  • New codes
  • Procedure status changes
  • Short descriptor code revisions
  • Payment policy indicator changes

Your MAC will give you 30-days notice before they implement these changes. After that, they’ll adjust claims that you bring to their attention.

For more information, see the Medicare Claims Processing Manual, Chapter 23 (PDF), section 30.1.

 

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