This page allows you to view the 2008 Medicare Physician Fee Schedule allowance for Pennsylvania, Maryland, Delaware, and DCMA by charge class and procedure code. You must select a charge class before entering a procedure code. Please keep in mind the Medicare Fee Schedule periodically changes and the most current fee may not be represented here. We strive to keep this page updated with the most current fee schedule information.

Payment Areas

Pennsylvania has two payment areas for physician services. They are charge classes 01 and 99. Pennsylvania charge class 01 consists of the following 5 counties: Bucks, Chester, Delaware, Montgomery, Philadelphia. Pennsylvania charge class 99 covers the remainder of the state.

Maryland has two payment areas for physician services. They are charge classes 01 and 99. Maryland charge class 01 consists of the following counties: Anne Arundel, Baltimore, Carroll, Harford and Howard. Maryland charge class 99 covers the remainder of the state.

Delaware has one payment area for physician services. Charge class 01 consists of the entire state.

DCMA has one payment area for physician services. Charge class 01 consists of the following areas: Arlington and Fairfax counties in Virginia, the city of Alexandria, the District of Columbia and Montgomery and Prince George's counties in Maryland.

Calculator

If you are a Health Care Professional who submits claims to Medicare, please take note. There may be codes listed for which you are not eligible to bill Medicare due to your specialty designation or Medicare coverage limitations.

If you are interested, you can also download the complete Medicare Physician Fee Schedule for Pennsylvania by charge class in PDF, Microsoft excel, and text formats.