Mississippi Medicaid Physician Fee Schedule 2026

Mississippi Medicaid publishes 6,554 physician procedure rates effective 2026, paying a median 83.2% of the national Medicare amount for the same services. This page shows published rates for common physician procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Mississippi physician schedule has 6,554 codes.

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Published codes

6,554

Physician procedures on the 2026 schedule

Median % of Medicare

83.2%

vs national Medicare, GPCI-neutral

Effective vintage

2026

latest effective year on the schedule

Mississippi publishes one comprehensive fee schedule that mixes professional rates with hospital outpatient amounts, distinguished by a type-of-service code. The facility-grain (OPP) rows keep their published rates here but are excluded from Medicare-percentage comparisons.

Common physician procedures and what Mississippi Medicaid pays

A curated sample of recognizable procedures from the 6,554-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureMississippi rate% of Medicare
10021Fine needle aspiration biopsy, first lesion, no imaging$308.71--
10060Drainage of a skin abscess, simple$152.36--
10061Drainage of a skin abscess, complicated or multiple$308.71--
10080Drainage of a pilonidal cyst, simple$537.76--
10081Drainage of a pilonidal cyst, complicated$537.76--
10120Removal of a foreign body from tissue, simple$308.71--
10121Removal of a foreign body from skin, complicated$1,254.25--
10140Drainage of a blood or fluid collection under the skin$1,254.25--
10160Needle drainage of an abscess or cyst$308.71--
10180Drainage of an infected surgical wound$2,205.88--
11000Removal of infected or dead skin, up to 10% of body$308.71--
11042Wound debridement, skin and tissue below, first 20 sq cm$308.71--
11043Wound debridement to muscle, first 20 sq cm$561.26--
11044Wound debridement to bone, first 20 sq cm$1,254.25--
11045Wound debridement, skin, each added 20 sq cm$34.4082.4%
11055Trimming of one callus or corn$152.36--
11056Trimming of 2-4 calluses or corns$152.36--
11057Trimming of 5 or more calluses or corns$152.36--
11102Skin biopsy, tangential, first lesion$308.71--
11104Skin biopsy, punch, first lesion$308.71--
11106Skin biopsy, incisional, first lesion$561.26--
11200Removal of skin tags, up to 15$152.36--
11201Removal of skin tags, each added 10$15.2983.2%
11300Shave removal of a skin lesion, trunk/arm/leg, 0.5 cm or less$308.71--
11305Shave removal of a skin lesion, scalp/neck/genitals, 0.5 cm or less$152.36--

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.

More Mississippi Medicaid fee schedules

Physician rates in neighboring states

Frequently asked questions

What does Mississippi Medicaid pay for physician and professional services?

Mississippi Medicaid publishes 6,554 physician procedure rates effective 2026, paying a median 83.2% of the national Medicare amount for the same services. The schedule covers office visits, preventive care, surgery, and evaluation and management services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Mississippi's physician rates compare with Medicare?

Across physician codes with a national Medicare comparator, Mississippi Medicaid pays a median 83.2% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do physician services need prior authorization in Mississippi?

Mississippi does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Directly from Mississippi's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

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