Medicare Fee Schedule Lookup
Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, MS-DRG, or NDC code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights and national rates, anesthesia conversion factors, the Clinical Laboratory Fee Schedule, DMEPOS, ambulance, opioid treatment program, and Part D negotiated price data from CMS.
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Run a free sample reportMAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
| Code | Fiscal Year | Weight | National Payment | Description |
|---|---|---|---|---|
| 470 - MS-DRG | 2027 | 1.9563 | — | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC |
| 470 - MS-DRG | 2026 | 1.9289 | — | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC |
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Methodology
Relative weights come from the IPPS Final Rule Table 5 published annually by CMS for each fiscal year (October to September). Each weight reflects the average resources used to treat cases in that group. The national payment is the weight times that year's national operating standardized amount and capital federal rate, for a hospital receiving the full update. It is a benchmark before the wage index, DSH, IME and outlier adjustments that set an individual hospital's payment.
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