MFS Reference Tool FAQs

Tool Category Service Type – Secondary Service Type (from look-up tool)

MFS Tab Category (from Fee Schedule)

Code types for entry

IP Acute

Hospital (Inpatient) – Acute

MS-DRG

IP Rehab

Hospital (Inpatient) – Rehab

CMG

Revenue, Revenue+CPT, Revenue+HCPCS, HCPCS J-CODE

OP % Charges

Hospital (Outpatient)

OP CPT

Hospital (Outpatient)

CPT (Modifier if applicable)

OP HCPCS

Hospital (Outpatient)

HCPCS (Modifier if applicable)

ASC % Charges

Ambulatory Surgical Center

Revenue Code

ASC Surgeries

Ambulatory Surgical Center

CPT

ASC Fluoroscopy

Ambulatory Surgical Center

CPT (Modifier if applicable)

Prof and Other Prov % Charges

Professional Services – Injectable drugs

CPT, HCPCS, HCPCS J-Code

Prof Anesthesia

Professional Services – Anesthesia

CPT, (Modifier if applicable)

Prof Surgery

Professional Services – All Other Services

CPT, Has Modifiers

Prof Radiology

Professional Services – All Other Services

CPT, Has Modifiers

Prof LabPath

Professional Services – All Other Services

CPT (Modifier if applicable)

Prof E&M

Professional Services – All Other Services

CPT

Prof Other Medicine

Professional Services – All Other Services

CPT (Modifier if applicable)

Prof HCPCS – 1

Professional Services – All Other Services

HCPCS (Modifier if applicable)

Prof HCPCS – 2

Professional Services – All Other Services

HCPCS (Modifier if applicable)

Prof HCPCS – 3

Professional Services – All Other Services

HCPCS

Prof HCPCS – 4

Professional Services – All Other Services

HCPCS

Prof HCPCS – 5

Professional Services – All Other Services

HCPCS (Modifier if applicable)

Phys Med and Rehab Physical Medicine and Rehabilitation Services

CPT, HCPCS

Osteopathic and Chiropractic Manipulative Treatment

OsteoChiro

CPT

Acupuncture

Acupuncture

CPT

Dental

Dental

HCPCS

Ambulance

Ambulance

HCPCS

S Codes

S Codes

HCPCS

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