Physician Fee Schedules

The appearance on this website of a code and rate is not an indication of coverage, nor a guarantee of payment. AHCCCS covered procedures can be viewed in the AHCCCS Medical Policy Manual (AMPM). AHCCCS covered services can differ based upon enrollment.

Physician fee schedules are updated annually for dates of service on and after October 1st. Quarterly updates at January 1, April 1, and July 1 may be made to accommodate new codes or rate adjustments.

For facility and non-facility Place of Service (POS) codes, see the following document: Place of Service (POS) Code Set

2022

  • FFS/Acute MCO/ALTCS MCO Programs Capped Fee Schedule Effective October 1, 2021

  • Download Rate Groups

    Rates by Service Category
    • Anesthesia
    • Physician Fee
    • Drugs    (Moved to Current and Historical Fee Schedules under Physician Administered Drug)
    • Durable Medical Equipment    (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
    • Enteral and Parenteral Therapy    (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
    • Evaluation and Management Services    (Moved to Physician Fee above)
    • Maternity Care and Delivery    (Moved to Physician Fee above)
    • Medical and Surgical Supplies    (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
    • Medicine and Professional Medical Services    (Moved to Physician Fee above)
    • Orthotics and Prosthetics    (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
    • Pathology and Laboratory    (Moved to Current and Historical Fee Schedules under Clinical Laboratory (CLAB))
    • Radiology    (Moved to Physician Fee above)
    • Surgery    (Moved to Physician Fee above)
    • Vision and Hearing Services    (Moved to Current and Historical Fee Schedules under Durable Medical Equipment)
    Rates by Modifier Values

2021

2020

2019

2018

2017

2016

2015

2014

Historical Physician Fee Schedules

Primary Care Enhanced Reimbursement

The Primary Care Enhanced Reimbursement (“PCP Parity”) mandated by Section 1202 of the Affordable Care Act is discontinued effective for dates of service on and after 01/01/2015. For information related to that program, see the following links:


Reimbursement and General Fee Schedule FAQs

Contacts

Have a question about AHCCCS Fee-for-Service reimbursement rates? Email us at FFSRates@azahcccs.gov.