Geographic Practice Cost Indices (GPCI)

Understanding the 2023 Value Table

2023 GPCI Value Table

The following table shows the GPCI values, by Medicare Carrier and Locality, CPT® Conversion Factor and Anesthesia Conversion Factor by Locality for 2023.

CompuGroup Medical software and RCM services brands including CGM APRIMA, CGM CLINICAL, CGM eMDs, CGM LYTEC, CGM MEDISOFT, and ARIA RCM Services use these in conjunction with the RVU values for each CPT® fee to automatically calculate your Medicare fee schedule making it easy to update fees, model the impact of changes on practices, and automate charge entry.

The Medicare fee schedule can also be copied and adjusted for other contracts based on Medicare, such as percentage or fixed changes for all or ranges of codes. We advise that you check this page at the start of each quarter to see if there have been changes to the Conversion Factor or GPCIs.  And depending upon your system, GPCI, charge, and RVU content is automatically updated or is easily downloaded to keep your data current.  Instructions for updating CompuGroup Medical systems can be found in your system documentation.

The 2023 Physician Fee Schedule Conversion Factor is $33.8872.

What Medicare Locality Am I in?

Addendum CY 2023 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality

Instructions
  • Ensure you have the latest CPT® & HCPCS content update.
  • Ensure you have the 2023 RVU update against the CPT® and HCPCS codes.
  • Look up your Medicare locality in the Locality Name column. Make sure you distinguish between urban areas and rest of state areas.
  • Depending upon your CGM software system (CGM APRIMA, CGM eMDs, CGM MEDISOFT, CGM LYTEC, etc. enter the GPCI values into the fields provided. Don’t forget to use the decimal point. Note that the options are usually facility-specific so accommodate any variance in delivery locations for your business, so be sure to set these based on the facility in which you are calculating fees.
  • Enter the CPT®, Conversion Factor, and if applicable for your practice Anesthesia Conversion Factors. The anesthesia CF for your locality can be found in the GPCI table. Click Save.
  • Refer to your software’s help system for specific guidance on updating your contracts and fee schedules.

*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.
**PE GPCI reflects a 1.0 floor for frontier states established by the ACA.

Note:

  • The 1.0 Work GPCI floor required by Section 101 of the Consolidated Appropriations Act, 2021 [December 27, 2020] extended the Work GPCI floor through December 31, 2023.
  • Therefore, the Work GPCIs for 2022 and 2023 reflect the 1.0 floor, and the Work GPCIs for 2024 do not reflect a 1.0 floor.