Medicare fee schedule changes: Q1 2021
Comparing national non-facility payment amounts in the Q1 2021 Physician Fee Schedule release against Q4 2020. Of 7,195 codes payable in both, 2,337 increased, 4,769 decreased, and 89 were unchanged.
Largest increases Copy link
| Code | Q4 2020 | Q1 2021 | Change |
|---|---|---|---|
| 77401 | $24.90 | $43.97 | +76.6% increase |
| 92584 | $75.07 | $121.43 | +61.8% increase |
| 37239 | $1,510.35 | $1,990.30 | +31.8% increase |
| G6001 | $119.46 | $156.67 | +31.1% increase |
| 57282 | $547.84 | $712.52 | +30.1% increase |
| 91132 | $330.58 | $428.14 | +29.5% increase |
| 95830 | $513.56 | $662.27 | +29.0% increase |
| 91133 | $354.40 | $451.52 | +27.4% increase |
| 20101 | $494.79 | $627.73 | +26.9% increase |
| 97610 | $329.86 | $416.27 | +26.2% increase |
| 90792 | $160.96 | $201.68 | +25.3% increase |
| 90951 | $959.98 | $1,198.58 | +24.9% increase |
| 90960 | $291.24 | $362.54 | +24.5% increase |
| 90791 | $145.44 | $180.75 | +24.3% increase |
| 59430 | $215.09 | $265.89 | +23.6% increase |
| 99215 | $148.33 | $183.19 | +23.5% increase |
| 99212 | $46.19 | $56.88 | +23.1% increase |
| 99441 | $46.19 | $56.88 | +23.1% increase |
| 90966 | $244.33 | $299.73 | +22.7% increase |
| 90961 | $244.69 | $300.08 | +22.6% increase |
| 20102 | $531.96 | $651.45 | +22.5% increase |
| 99493 | $126.31 | $154.23 | +22.1% increase |
| 37238 | $3,259.97 | $3,977.12 | +22.0% increase |
| 99442 | $76.15 | $92.82 | +21.9% increase |
| 99213 | $76.15 | $92.47 | +21.4% increase |
Largest decreases Copy link
| Code | Q4 2020 | Q1 2021 | Change |
|---|---|---|---|
| 28820 | $581.40 | $317.88 | -45.3% decrease |
| 28825 | $555.78 | $311.25 | -44.0% decrease |
| 93227 | $27.07 | $18.84 | -30.4% decrease |
| 33991 | $652.50 | $481.18 | -26.3% decrease |
| 19340 | $1,031.44 | $775.67 | -24.8% decrease |
| 19357 | $1,565.21 | $1,193.34 | -23.8% decrease |
| 93005 | $8.66 | $6.63 | -23.4% decrease |
| G0404 | $8.66 | $6.63 | -23.4% decrease |
| 93225 | $25.98 | $20.24 | -22.1% decrease |
| 94669 | $29.95 | $23.38 | -21.9% decrease |
| 94060 | $60.27 | $47.11 | -21.8% decrease |
| G0518 | $535.57 | $419.42 | -21.7% decrease |
| 65205 | $38.25 | $30.01 | -21.5% decrease |
| 67820 | $27.07 | $21.28 | -21.4% decrease |
| 76513 | $101.41 | $79.91 | -21.2% decrease |
| 94640 | $18.04 | $14.31 | -20.7% decrease |
| 67515 | $65.32 | $51.99 | -20.4% decrease |
| 94200 | $22.74 | $18.14 | -20.2% decrease |
| 76510 | $92.39 | $74.32 | -19.6% decrease |
| 19342 | $966.48 | $780.21 | -19.3% decrease |
| G6003 | $189.83 | $156.67 | -17.5% decrease |
| G0516 | $269.59 | $222.62 | -17.4% decrease |
| G2083 | $1,110.12 | $917.34 | -17.4% decrease |
| 33990 | $444.62 | $368.47 | -17.1% decrease |
| 94010 | $36.09 | $30.01 | -16.8% decrease |
Get notified when rates change
Medicare updates the fee schedule every quarter. We'll email you when a release moves rates.
Source file: rvu21a-updated-01052021.zip Copy link
CMS shipped the Q1 2021 Physician Fee Schedule as the RVU21A release — rvu21a-updated-01052021.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 RVU21A source page.
- ANES2021.csv — Anesthesia conversion factors (ANES) 112 rows
- GPCI2021.csv — Geographic practice cost indices (GPCI) 112 rows
- OPPSCAP_JAN.csv — OPPS site-of-service payment caps 16,912 rows
- PPRRVU21_JAN.csv — Physician relative value file (PPRRVU) 17,327 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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