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MLN Product (Revised); How to Use the MPFS Look-Up Tool

This revised product comprises Subregulatory Guidance for the How to Use the PFS Look-Up Tool and its content is based on publicly available information at PFS Federal Regulation Notices, Physician Fee Schedule, Internet-Only Manual (IOM) Pub. 100-02 Medicare Benefit Policy Manual, Chapter 15, and the Internet-Only Manual (IOM) Pub. 100-04 Medicare Claims Processing Manual, Chapter 4.

CMS policy or operation subject matter experts also reviewed/cleared this product. This product educates providers on the function of the PFS Look Up Tool. This product was updated for standard calendar year revisions.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: April 28, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.