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Medicare Payment Systems and Coding Files

This site provide links to pages containing informational materials on Medicare payment systems and coding files.

Payment Systems

• Ambulance Fee Schedule
• Ambulatory Surgical Center (ASC) Base Eligibility File
  For additional Ambulatory Surgical Centers information see the Ambulatory Surgical Center Information Resource for Medicare web page.
• Berenson-Eggers Type of Service (BETOS) File
• Clinical Lab Fee Schedule
  For additional Clinical Lab information see the Clinical Laboratory Information Resource for Medicare web page.
• Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule
  For additional DMEPOS information see the DMEPOS Information Resource for Medicare web page.
• Home Health Prospective Payment System
• Hospice Payment System
• Hospital Inpatient Prospective Payment System
• Hospital Outpatient Prospective Payment System
• Inpatient Rehabilitation Facility Prospective Payment System
• Long-Term Care Hospitals Prospective Payment System
• Medicare PPS Excluded Cancer Hospitals
• Physician Fee Schedule
  • National Physician Fee Schedule Relative Value File
  • Physician Fee Schedule Payment Amount File National/Carrier
  • Part B Drugs
• Prospective Payment System (PPS) PC PRICER
• Skilled Nursing Facility (SNF) Prospective Payment System
• Files for Download (formerly known as Public Use Files)

Coding Files

• Alpha-Numeric HCPCS File
• Healthcare Common Procedure Coding System (HCPCS)
• ICD-9-CM Coordination and Maintenance Committee
• FY 2003 Updates to the ICD-9-CM Diagnosis Codes Effective October 1, 2003
• Place of Service Codes for Professional Claims
• Zipcode to Carrier Locality File