US · guidance
CMS Pub. 100-04, ch. 1, § 170.1
Services Paid on the Medicare Physician Fee Schedule (MPFS)
The following chart shows for selected Types of Bill (TOB) those revenue codes containing (some) services payable on the MPFS.
Services Payable on the MPFS
TOB by Revenue Code
Rev codes
12x IHS 12x 13x
IHS
13x 22x 23x 34x 72x 74x 75x 76x 81x 82x 85x
IHS
85x
030x X
031x X
032x X X
033x X X
034x X X
036x X X
0401, 0403 X X X X X X
0410, 0412, 0419 X X X
042x X X X X X X X X X
043x X X X X X X X X X
044x X X X X X X X X X
046x X X
471 X X X X X X
048x X X
0550, 0559 X
056x X
061x X X
657 X X
070x X X
073x X X
074x X X
075x X X
771 X X X X X X X X X X X
Services Payable on the MPFS
TOB by Revenue Code (continued)
12x IHS 12x 13x
IHS
13x 22x 23x 34x 72x 74x 75x 76x 81x 82x 85x
HIS
85x
078x X X X X X X
090x X X X
091x X X X
092x X X
0940, 0942, 0949 X X X
096x X X
097x X X
098x X X
History
(Rev. 1526, Issued: 05-30-08, Effective: 07-01-08, Implementation: 07-07-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c7bb0de209e22a6ae684d56a1cc1fae51f76a9ab2d55cf70e1df6ffdc6462b7a
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