Medicare rates by specialty and practice type
Curated starter code sets for specialties, practitioner types, and care settings—with Office (non-facility), facility, locality-adjusted, and prior-release comparisons.
Specialties and practitioner types
Start with the clinical field, then personalize the full code set to your Medicare locality.
Allergy & Immunology
Office evaluation, allergy testing, immunotherapy administration, and allergen preparation.
Behavioral Health
Psychological assessment, psychotherapy, and group treatment — the core non-prescribing behavioral-health service mix.
Cardiology
Diagnostic cardiac testing and common cardiology procedures — EKGs, echocardiograms, catheterization, and device implants.
Chiropractic
The three spinal manipulation services that anchor Medicare-covered chiropractic treatment.
Dermatology
Skin biopsies, lesion destruction and excision, and nail procedures — the highest-volume dermatology codes.
Endocrinology
The lab panels and monitoring codes that anchor most endocrinology visits — A1C, glucose, thyroid, and continuous glucose monitoring.
Gastroenterology
Endoscopic procedures — colonoscopy, upper endoscopy, and capsule studies — alongside office visits.
General Surgery
Common general-surgery procedures — appendectomy, cholecystectomy, hernia repair, and breast surgery.
Hematology & Oncology
Office evaluation, infusion and chemotherapy administration, injections, blood counts, and specimen collection.
Nephrology
Office evaluation, dialysis treatment, and monthly end-stage renal disease management.
Neurology
Electrodiagnostic testing — EEG, nerve conduction studies, and EMG — plus office evaluation.
Obstetrics & Gynecology
Routine obstetric care and common gynecologic procedures.
Ophthalmology
Medical and surgical eye care — retinal imaging and treatment, glaucoma testing, and cataract surgery.
Optometry
New and established eye examinations, visual-field testing, retinal imaging, and optic-nerve imaging.
Orthopedics
Joint injections, arthroscopy, and major joint replacement — the common procedural mix for an orthopedic practice.
Otolaryngology (ENT)
Ear, nose, and throat office procedures and common surgeries.
Pain Management
Office evaluation, epidural and facet procedures, radiofrequency treatment, and drug monitoring.
Physical Medicine & Rehabilitation
Rehabilitation-focused evaluation, electrodiagnostic testing, and common musculoskeletal procedures.
Physical Therapy
Therapeutic exercise, neuromuscular re-education, gait training, manual therapy, and functional activities.
Podiatry
Routine foot care, nail treatment, callus removal, and common office procedures for foot and ankle practices.
Primary Care
Office visits, preventive care, and the routine services that make up most of a primary-care practice.
Psychiatry
Psychiatric evaluation, medication-management visits, and psychotherapy delivered with or without an E/M service.
Pulmonology
Pulmonary function testing and bronchoscopy alongside office evaluation.
Rheumatology
Office evaluation, joint procedures, injections, infusions, and bone-density testing common in rheumatology practices.
Urology
Cystoscopy, prostate biopsy, and stone management — the common urology procedure mix.
Practice types and care settings
These pages group services around how or where care is delivered rather than a rendering provider's specialty. Their procedure mixes are curated and labeled separately.
Emergency Department Professional Services
Emergency department evaluation and management levels plus critical-care professional services furnished by clinicians.
Home-Based Primary Care
New and established home or residence visits, including the complexity add-on available with qualifying visits.
Nursing Facility Professional Services
Initial, subsequent, and discharge-day professional visits furnished to skilled nursing facility and nursing facility residents.
Retail Clinic
Evaluation, preventive, wellness, and tobacco-cessation services commonly furnished in walk-in clinics located inside retail operations.
Telehealth
Common office, behavioral-health, and psychotherapy services that may be furnished through Medicare telehealth when current coverage rules are met.
Urgent Care
Office visits, wound repair, abscess treatment, foreign-body removal, and common diagnostic imaging for unscheduled ambulatory care.