Department of Medical Assistance Services
PROCEDURE FEE FILES & CPT CODES
Rate Setting
ALL FILES ARE UPDATED 3 TIMES A WEEK (Mon, Wed, Fri)
Bullet Overview
Bullet Description Of Search Current Rates File Layout
SEARCH CURRENT RATES - Medical Procedures Billed by Physicians or Other Practitioners
CPT Code

HISTORICAL CPT CODES – Medical Procedures Billed by Physicians or Other Practitioners
Bullet Historical Procedure Rate File Layout (pdf)
Bullet CPT Part 1 - Contains CPT Codes 0001F - 29999 (CSV Format)
Bullet CPT Part 2 - Contains CPT Codes 3000F - 49999 (CSV Format)
Bullet CPT Part 3 - Contains CPT Codes 50010 - 79999 (CSV Format)
Bullet CPT Part 4 - Contains CPT Codes 80002 – 99602 (CSV Format)
Bullet CPT Part 1 - Contains CPT Codes 0001F - 29999 (TXT Format)
Bullet CPT Part 2 - Contains CPT Codes 3000F - 49999 (TXT Format)
Bullet CPT Part 3 - Contains CPT Codes 50010 - 79999 (TXT Format)
Bullet CPT Part 4 - Contains CPT Codes 80002 – 99602 (TXT Format)
PROCEDURE FEE AUDIT TRAIL
Bullet Available In CSV & TXT Formats - Overview
Bullet Audit Trail (CSV Format)
Bullet Audit Trail (TXT Format)
HCPC CODES – Durable Medical Equipment, Injectibles, Supplies, Etc.
Bullet HCPCS (CSV Format)
Bullet HCPCS (TXT Format)
DENTAL PROCEDURE CODES
Bullet Dental Fee File (CSV Format)
Bullet Dental Fee File (TXT Format)
REVENUE Codes for Home Health, Hospice, or Other Services
Bullet Revenue Fee File (CSV Format)
Bullet Revenue Fee File (TXT Format)
MOST COMMONLY USED FIELDS
The most commonly used fields are listed below. Please note that the Procedure Rate file is historical and fields identifying the effective and end dates should be used to match the date of service with the rate.
Bullet CPT/HCPC/REVENUE CODES
FORMATTING ISSUES (Opening/Importing Files in Excel or Other Software)
You may choose to define the columns with fee amounts either as dollar or number fields in order to see the decimal places. You will need to define the procedure-code fields as text or else leading zeroes will be dropped. Also, each file has a header record identifying the data in each column. Please refer to your own software manual or the Help function in your software packages for further instructions on opening, importing, saving, and/or resizing files.
FREQUENTLY ASKED QUESTIONS (FAQs)
Bullet FAQ