2023 Medicare Fee Schedule Updated 1/31/22 from Richard C. Healy, D.C.

In the past, Congress often postponed Medicare Fee cuts to physicians. This year, it appears, there was a compromise but we will still see a fee reduction.

“The push to avert an 8.5% Medicare cut in the 2023 omnibus spending bill slowed down the wheels of a runaway train—but didn’t stop it completely. Physicians will still see a 2% cut in Medicare pay this year, with at least a 1.25% cut in store for 2024.”

The ANJC often recommends that providers hold off on billing Medicare claims in January, if financially feasible, for a few weeks to see if Congress will take action. At this point, all indicators are that this current Medicare fee schedule will stay in place for the remainder of 2023.

Therefore, the ANJC recommends that provider offices resume submission of claims to Medicare for all claims with dates of service of January 1, 2023 and later.

2023 Medicare Fee Schedule

Deductible: $226

Locality	Code	Par Fee	Non-Par Fee	Limiting Charge
01	98940	$30.87	$29.33	$33.73
01	*98940	$24.03	$22.83	$26.25
01	98941	$44.23	$42.02	$48.32
01	*98941	$37.00	$35.15	$40.42
01	98942	$57.20	$54.34	$62.49
01	*98942	$49.96	$47.46	$54.48
99	98940	$29.87	$28.38	$32.64
99	*98940	$23.40	$22.23	$25.56
99	98941	$42.86	$40.72	$46.83
99	*98941	$36.01	$34.21	$39.34
99	98942	$55.47	$52.70	$60.61
99	*98942	$48.62	$46.19	$53.12

• *Fee Schedule when services performed in a facility.
• LC (LIMITING CHARGE) APPLIES TO UNASSIGNED CLAIMS BY NON-PARTICIPATING PROVIDERS.
• 01 Region: BERGEN, ESSEX, HUDSON, HUNTERDON, MIDDLESEX, MORRIS, PASSAIC, SOMERSET, SUSSEX, UNION AND WARREN
• 99 Region: All other Counties