42 CFR 414.20 - Formula for computing fee schedule amounts.

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§ 414.20 Formula for computing fee schedule amounts.

(a)Participating supplier. The fee schedule amount for a participating supplier for a physician service as defined in § 414.2 is computed as the product of the following amounts:

(1) The RVUs for the service.

(2) The GAF for the fee schedule area.

(3) The CF.

(b)Nonparticipating supplier. The fee schedule amount for a nonparticipating supplier for a physician service as defined in § 414.2 is 95 percent of the fee schedule amount as calculated in paragraph (a) of this section.

[ 62 FR 59101, Oct. 31, 1997]