42 C.F.R. § 414.20 Formula for computing fee schedule amounts.
Title 42 - Public Health
(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]
Title 42: Public Health
PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
Subpart B—Physicians and Other Practitioners
§ 414.20 Formula for computing fee schedule amounts.
