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Medical Services Provider Manual (Fee Schedule)

The  Medical Services Provider Manual outlines billing and payment policy for physicians and other health care professionals and provides the current schedule of fees. The fee schedule does not cover hospital charges, general dental, EMS Services, Emergency Air Transportation, or services rendered outside of South Carolina. 

2016 Medical Services Provider Manual (MSPM) - At the Business Meeting on August 15, 2016, the Commission approved a revision to the Medical Services Provider Manual (MSPM) to reflect 2016 Resource Based Relative Values (RBRVS) issued by the Center for Medicare/Medicaid (CMS) and the American Medical Association's Current Procedural Terminology (CPT) Codes. Included in the approval is a Conversion Factor of $50 and no change to the Maximum Allowable Payments (MAP) for an Independent Medical Examination (IME). The IME fee will remain rated as Individual Consideration. The effective date is September 1, 2016.

Medical Fee Schedule Update 2016 - The Commission received a draft of the 2016 Medical Services Provider Manual (MSPM) at their Business Meeting on July 18, 2016, and is accepting comments on the proposed changes through July 29, 2016. The effective date of the new fee schedule is September 1, 2016. (Posted July 19, 2016)

Effective September 1, 2015, the 2010 MSPM will no longer govern non-inpatient, non-ASC medical services rendered to Workers' Compensation patients in South Carolina. Please refer to the 2015 Manual Services Provider Manual for billing and treatment for services provided after August 31, 2015.
2010 Medical Service Provider Manual Pricing Corrections and Revisions Effective January 1, 2013. (Posted April 25, 2013) Click here to view.
Revision Notice 2010 Medical Services Provider Manual, Section 2, ANESTHESIA December 20, 2011
Pharmacy Fee Schedule Effective December 19, 2011
2010 Medical Services Provider Manual effective July 1, 2010
2010 Medical Services Provider Manual Recommendation September 18, 2009