Medicare Fee Schedule Lookup
Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, or MS-DRG code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights, anesthesia conversion factors, and Clinical Laboratory Fee Schedule data from CMS.
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Run a free sample reportOt Re Eval Est Plan Care, Re Evaluation Of Occupational Therapy Established Plan Of Care Requiring These Components An Assessment Of Changes In Patient Functional Or Medical Status With Revised Plan Of Care An Update To The Initial Occupational Profile To Reflect Changes In Condition Or Environment That Affect Future Interventions And Or Goals And A Revised Plan Of Care A Formal Reevaluation Is Performed When There Is A Documented Change In Functional Status Or A Significant Change To The Plan Of Care Is Required Typically 30 Minutes Are Spent Face To Face With The Patient And Or Family
| Code | Date | State | Locality | Carrier | Non-Facility Fee | Facility Fee | Description |
|---|---|---|---|---|---|---|---|
| 97168 | 7/2026 | N/A | 00 | 00000 | $68.47 | $68.47 | Ot Re Eval Est Plan Care, Re Evaluation Of Occupational Therapy Established Plan Of Care Requiring These Components An Assessment Of Changes In Patient Functional Or Medical Status With Revised Plan Of Care An Update To The Initial Occupational Profile To Reflect Changes In Condition Or Environment That Affect Future Interventions And Or Goals And A Revised Plan Of Care A Formal Reevaluation Is Performed When There Is A Documented Change In Functional Status Or A Significant Change To The Plan Of Care Is Required Typically 30 Minutes Are Spent Face To Face With The Patient And Or Family |
| 97168 | 4/2026 | N/A | 00 | 00000 | $68.47 | $68.47 | Ot Re Eval Est Plan Care, Re Evaluation Of Occupational Therapy Established Plan Of Care Requiring These Components An Assessment Of Changes In Patient Functional Or Medical Status With Revised Plan Of Care An Update To The Initial Occupational Profile To Reflect Changes In Condition Or Environment That Affect Future Interventions And Or Goals And A Revised Plan Of Care A Formal Reevaluation Is Performed When There Is A Documented Change In Functional Status Or A Significant Change To The Plan Of Care Is Required Typically 30 Minutes Are Spent Face To Face With The Patient And Or Family |
| 97168 | 1/2026 | N/A | 00 | 00000 | $68.47 | $68.47 | Ot Re Eval Est Plan Care, Re Evaluation Of Occupational Therapy Established Plan Of Care Requiring These Components An Assessment Of Changes In Patient Functional Or Medical Status With Revised Plan Of Care An Update To The Initial Occupational Profile To Reflect Changes In Condition Or Environment That Affect Future Interventions And Or Goals And A Revised Plan Of Care A Formal Reevaluation Is Performed When There Is A Documented Change In Functional Status Or A Significant Change To The Plan Of Care Is Required Typically 30 Minutes Are Spent Face To Face With The Patient And Or Family |
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See what state Medicaid programs pay for the same codes
48 state Medicaid agencies publish their own physician fee schedule, and the rate for a single code can differ several times over between them. Rates for 99213, 99214, 99203, 99204, 99285 are free in every state that prices them, with no login.
16,416 codes and 616,564 published rates, taken from the files the state agencies publish themselves.
Methodology
Rates are sourced directly from CMS Physician Fee Schedule files, indexed quarterly. Non-facility and facility prices are calculated using the published GPCI for each locality and the year's conversion factor.
View CMS Physician Fee Schedule