Medicare Releases New 2021 Fee Schedule

Editor’s Note: Due to a Medicare carrier duplication error, the fees previously listed in this article (January 7, 2021) were incorrect for Zone 12. As of February 2, 2021, the fees in this schedule are correct. As always, the ICS continues to recommend that participating providers bill their normal office fees.

CMS announced the release of the new 2021 fee schedule that takes into account the Congressional changes from the late December omnibus budget and relief bill. Fortunately, we received a one-year reprieve from the drastic cuts previously planned.

Advertisement

The Illinois Medicare fee schedule is below, and you can access the NGS lookup tool here.

If you would like to find out more about the Consolidated Appropriations Act of 2021, click here.

If you would like to find out more about the significant E/M changes that began last week, click here.

If you would like to attend an Interactive Virtual Seminar on Medicare, Medicare Fees, and the E/M changes that began on January 1, you can find out more and register here.

Locality/Area Counties

12 Bond, Calhoun, Clinton, Jersey, Macoupin, Madison, Monroe, Montgomery, Randolph, St. Clair, Washington
15 DuPage, Kane, Lake, Will
16 Cook
99 All Other Counties

Thank you to Dr. Mario Fucinari for providing the above information. Dr. Fucinari is presenting a course for Illinois doctors later this month. If you would like to attend this Interactive Virtual Seminar on Medicare, Medicare Fees, and the E/M changes that began on January 1, you can find out more and register here.