Medicare fee schedule changes: Q1 2016
Comparing national non-facility payment amounts in the Q1 2016 Physician Fee Schedule release against Q4 2015. Of 6,916 codes payable in both, 1,596 increased, 4,921 decreased, and 399 were unchanged.
Largest increases Copy link
| Code | Q4 2015 | Q1 2016 | Change |
|---|---|---|---|
| 86490 | $6.83 | $70.53 | +932.7% increase |
| 44382 | $83.73 | $324.75 | +287.9% increase |
| 45334 | $168.17 | $619.06 | +268.1% increase |
| 44380 | $70.43 | $224.13 | +218.2% increase |
| 89230 | $2.52 | $5.37 | +113.1% increase |
| 76948 | $33.42 | $70.53 | +111.0% increase |
| 31626 | $458.51 | $926.97 | +102.2% increase |
| 88377 | $214.88 | $412.11 | +91.8% increase |
| 43227 | $407.13 | $706.42 | +73.5% increase |
| 88374 | $205.54 | $345.87 | +68.3% increase |
| 43255 | $445.58 | $741.51 | +66.4% increase |
| 45331 | $166.73 | $260.30 | +56.1% increase |
| 44391 | $510.26 | $779.46 | +52.8% increase |
| 62190 | $609.43 | $925.54 | +51.9% increase |
| 88344 | $117.50 | $174.01 | +48.1% increase |
| 88369 | $74.02 | $108.49 | +46.6% increase |
| 88364 | $97.74 | $135.34 | +38.5% increase |
| 28226 | $457.43 | $627.29 | +37.1% increase |
| 64862 | $1,190.48 | $1,607.61 | +35.0% increase |
| 63195 | $1,209.52 | $1,625.87 | +34.4% increase |
| 88341 | $67.91 | $90.23 | +32.9% increase |
| 45382 | $615.18 | $806.31 | +31.1% increase |
| 28570 | $176.43 | $228.43 | +29.5% increase |
| 64605 | $600.45 | $767.64 | +27.8% increase |
| 27280 | $1,119.33 | $1,412.84 | +26.2% increase |
Largest decreases Copy link
| Code | Q4 2015 | Q1 2016 | Change |
|---|---|---|---|
| 77790 | $97.38 | $15.04 | -84.6% decrease |
| 41530 | $3,321.69 | $1,025.44 | -69.1% decrease |
| 67228 | $1,016.20 | $345.15 | -66.0% decrease |
| 67227 | $620.57 | $293.24 | -52.7% decrease |
| 20240 | $223.87 | $159.33 | -28.8% decrease |
| 45342 | $243.27 | $184.03 | -24.4% decrease |
| 97033 | $33.06 | $26.50 | -19.8% decrease |
| 68801 | $126.13 | $101.68 | -19.4% decrease |
| 68810 | $244.71 | $197.28 | -19.4% decrease |
| 69200 | $125.77 | $101.33 | -19.4% decrease |
| 88325 | $216.68 | $174.72 | -19.4% decrease |
| 11750 | $226.74 | $182.96 | -19.3% decrease |
| 20982 | $3,815.06 | $3,077.38 | -19.3% decrease |
| 26356 | $1,109.99 | $895.47 | -19.3% decrease |
| 28636 | $362.93 | $292.88 | -19.3% decrease |
| 30300 | $236.08 | $190.48 | -19.3% decrease |
| 32998 | $3,019.49 | $2,435.77 | -19.3% decrease |
| 43754 | $134.03 | $108.13 | -19.3% decrease |
| 46500 | $246.14 | $198.71 | -19.3% decrease |
| 49428 | $555.17 | $447.91 | -19.3% decrease |
| 50592 | $3,210.66 | $2,589.73 | -19.3% decrease |
| 55866 | $1,788.41 | $1,442.91 | -19.3% decrease |
| 61480 | $2,074.80 | $1,674.21 | -19.3% decrease |
| 61708 | $2,723.40 | $2,197.67 | -19.3% decrease |
| 62117 | $2,097.80 | $1,692.83 | -19.3% decrease |
Get notified when rates change
Medicare updates the fee schedule every quarter. We'll email you when a release moves rates.
Source file: rvu16a.zip Copy link
CMS shipped the Q1 2016 Physician Fee Schedule as the RVU16A release — rvu16a.zip . Every amount on this page was computed from the member files inside it. CMS reshuffles columns between releases and sometimes re-publishes files in place, so we parse by header name and version every drop — the numbers here stay reproducible. Checksums, download links, and a column-by-column guide to what's inside are on the RVU16A source page.
- ANES_V0105.csv — Anesthesia conversion factors (ANES) 90 rows
- CY2016_GPCIs.csv — Geographic practice cost indices (GPCI) 90 rows
- OPPSCAP_V0105.csv — OPPS site-of-service payment caps 15,750 rows
- PPRRVU16_V0122.csv — Physician relative value file (PPRRVU) 16,289 rows
Method Copy link
Amounts are national non-facility figures (GPCI 1.000, before sequestration), computed from each release's RVUs and conversion factor. Only codes payable in both releases are compared. See how Medicare pays.
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