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US · guidance

CMS Pub. 100-04, ch. 12, § 20.6

Update Factor for Fee Schedule Services

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

The CMS provides updates to the MPFSDB and other fee schedules annually or as otherwise

necessary. Claims processing A/B MACs (B) must maintain at least five full calendar years of

fee schedules and related pricing data (i.e., the current and four prior calendar years), regardless

of the number of updates or pricing periods within those five years.

History

(Rev. 2464, Issued: 05-04-12, Effective: 10-01-11-MCS/10-01-12-VMS, Implementation: 10-03-11-MCS, VMS Analysis and Design /10-01-12-VMS implementation)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
63dbedbda194446b037254eb2248decd6481b102cbb9303908dad8a7525e032e
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