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Part B Carrier Summary Data File

Guidance for Part B Carrier Summary Data File. It includes a description of summarization and labeling of data sets.

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

Issue Date: September 04, 2020

Data sets are summarized at the carrier level by meaningful Healthcare Common Procedure Coding/Current Procedural Terminology, (HCPC/CPT), code ranges. The data set name contains the year followed by a carrier number. Within each code range are, procedural, condition, or description subheadings. Each data set displays the allowed services, allowed charges, payment amounts by HCPCS/CPT codes and prominent modifiers.

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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.