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US · guidance

CMS Pub. 100-04, ch. 1, § 170.1

Services Paid on the Medicare Physician Fee Schedule (MPFS)

activein force · 2026-08-25 – presentas-observed

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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