09/15/2025

WPS Recent Oncology Related News

Recent WPS Articles That May be of Interest to Oncology:

WPS PART A ONLY

None at this time. 

WPS PART B ONLY

Medicare Part B 2025 Fee Schedule
Effective January 1, 2025

• Loc 1 (file download)
• Loc 99 (file download)
  
  
• New! Medicare Part B Drug Pricing Files & Revisions: October Update (file download) 
• New! Medicare Physician Fee Schedule Database: October Update (file download) 

PFS National Payment Amount File 

PFS Relative Value Files 

• ASP Pricing Files 
  • New! October 2025 ASP Pricing File - Preliminary File (file download) 
  • New! October 2025 NOC Pricing File - Preliminary File (file download) 
  • New! October 2025 ASP NDC-HCPCS Crosswalk - Preliminary File (file download) 
• ASC Addenda 

2025 Ambulatory Surgical Center (ASC) Fee Schedules 

Anesthesia Pricing

• Anesthesia Base Units
• 2025 Anesthesia Conversion Factors

2025 Final Rules & Fee Schedules

• 2025 Physician Fee Schedule Final Rule 
• 2025 Physician Fee Schedules 
• 2025 Specialty Pricing 
• Physician Fee Schedule Final Rule Fact Sheet 
• Quality Payment Program Fact Sheet 
• Medicare Shared Savings Program in the CY 2025 PFS Final Rule Fact Sheet 
• Medicare Prescription Drug Inflation Rebate Program Changes Fact Sheet 

Calculating Specialist Pricing
For specialists, use the Physician Fee Schedule and the specific calculations below:

• Clinical Social Worker: multiply the fee amount by 75%
• Medical Nutrition Therapy: To determine the fee, multiply the fee amount by 85%
  • Exception: The 85% calculation does not apply to Codes G0108 and G0109
• Nurse Practitioner/Physician Assistant/Clinical Nurse Specialist: To determine the fee, multiply the fee amount by 85%
  • Exceptions: The 85% calculation does not apply to codes with a TC modifier, Technical Component Only codes, or CPT codes G0108 and G0109