Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Instructions to the Fiscal Intermediary Shared System [FISS] to Add Additional Multiple Procedure Indicators 6 and 7 Into the Physician Fee Schedule Payment Policy Indicator File Record Layout

In the past, CMS instructed contractors to add to their systems Current Procedural Terminology (CPT) Category III codes with multiple procedure indicators 6 and 7. These codes are payable on professional claims on a fee schedule basis and on institutional claims for Critical Access Hospital (CAH) services on a cost basis. Multiple procedure indicators 6 and 7 apply a reduction to the technical component of these services when paid on a fee schedule basis.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 06, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.