US · guidance
CMS Pub. 100-04, ch. 23, § 30.3.2
A/B MAC (A), (B), or (HHH) Furnishing Physician Fee Schedule Data for
National Codes
(Rev. 4131, Issued: 09-14-18, Effective: 12-17-18, Implementation: 12-17-18)
A/B MACs (A), (B), and (HHH) are responsible for furnishing fee schedules to related providers, suppliers,
physicians, and practitioners with billing relationships.
A/B MACs (A), (B), and (HHH) may also receive requests for this information from the State Agencies.
The data is available on the CMS website. The MACs shall direct State Agencies to the appropriate pages
on the website to download the data directly.
The CMS will provide the Medicare physician, ambulance, DMEPOS, and clinical laboratory fee schedules
and the zip code file to the A/B MACs (A) and (HHH), Palmetto GBA (the Specialty MAC or S MAC for
Railroad Retirement Board), the Indian Health Services, and the United Mine Workers. MACs DO NOT
NEED TO SEND FILES TO THOSE ENTITIES.
Fee schedules also are available for the public on the CMS Web site.
History
(Rev. 4131, Issued: 09-14-18, Effective: 12-17-18, Implementation: 12-17-18)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
5cadb4694ea4ab1e440ba7065e6e17ace1c2f55b8c445cbf07f0a5259306b02e
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