§414.20. Formula for computing fee schedule amounts.
42 C.F.R. § 414.20
Participating supplier. The fee schedule amount for a participating supplier for a physician service as defined in § 414.2 is computed as the product of the following amounts:
The RVUs for the service.
The GAF for the fee schedule area.
The CF.
Nonparticipating supplier. The fee schedule amount for a nonparticipating supplier for a physician service as defined in § 414.2 is 95 percent of the fee schedule amount as calculated in paragraph (a) of this section.
Notes, amendments, and revision history
Amendments
[62 FR 59101, Oct. 31, 1997]
Source
Source: 56 FR 59624, Nov. 25, 1991; 57 FR 42492, Sept. 15, 1992, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).
Source
Source: 55 FR 23441, June 8, 1990, unless otherwise noted.
Amendments
[62 FR 59101, Oct. 31, 1997]