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US · guidance

CMS Pub. 100-04, ch. 4, § 250.11.1

Use of Payment Policy Indicators for Determining Bilateral

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

Procedures Eligible for 150 Percent Payment Adjustment

(Rev. 1777; Issued: 07-24-09; Effective Date: 01-01-08; Implementation Date: 01- 04-10)

Medicare uses the payment policy indicators on the Medicare Physician Fee Schedule

Database (MPFSDB) to determine if a bilateral procedure is authorized for a specific

HCPCS/CPT code. The MPFSDB is located at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/index.html. The A/B MACs (A) have

access to the payment policy indicators via the Physician Fee Schedule Payment Policy

Indicator File in the FISS.

See the Physician Fee Schedule Payment Policy Record Layout in §250.2 for a

description of the bilateral procedure payment policy indicators.

History

(Rev. 1777; Issued: 07-24-09; Effective Date: 01-01-08; Implementation Date: 01- 04-10)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
4b55340c3c9e70653f3d164dfd5a6443eebec2ff9daff81ab203d5bf9cc911f9
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