Medicare CBSA Codes Database

Medicare CBSA (Core-Based Statistical Areas) Codes are used to accurately file Medicare claims and verify if the Medicare Home Health Rural Add-on incentive applies, based on a patient’s ZIP Code.

cbsa medicareThe Patient Protection and Affordable Care Act (PPACA) signed into law in early 2010 gives an additional 3% to payments made for home health services to patients in rural areas. To qualify for this incentive, a patient must live in a rural area indicated by Medicare CBSA Codes used by the Centers for Medicare & Medicaid Services (CMS).

Note: Regular CBSA’s differ from Medicare CBSA’s (CMS CBSA Codes)

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Database Specs & Features

Download Sample Data (CSV)

  • Immediate Download

    Download is available immediately upon purchase and for the duration of the annual subscription.

  • Quarterly Updates

    A monthly update of this database is not necessary, so we update our database quarterly and recommend that you download quarterly as well.

  • Free FTP/SFTP (upon request)

    To update your database without human intervention, we can provide an FTP address for you to write a script to access. Just request it after purchase.

  • Data Format - CSV

    Comma-Separated Values (CSV) Text File

  • ZIP Code

    Official U.S. Postal Service five digit ZIP Code

  • City

    Official city name used by the U.S. Postal Service

  • State Abbr.

    Official U.S. Postal Service State Abbreviation

  • State

    Official State Name

  • State FIPS

    Federal Information Processing Standard (FIPS) 2‐digit state. FIPS codes are not available for all areas (APO, FPO, some U.S. Territories).

  • Medicare State Code

    The state codes used in Medicare databases are Social Security Administration (SSA) codes, which differ from Federal Information Processing Standard codes (FIPS).

  • County

    The name of the county in which the ZIP Code is found.

  • County FIPS

    Federal Information Processing Standard (FIPS) 3‐digit county. FIPS codes are not available for all areas (APO, FPO, some U.S. Territories).

  • CBSA Medicare Code

    (aka CMS CBSA) Geographic location code as defined by the Office of Management and Budget. Note: if the OMB makes a change after CMS has defined their codes, it won't show up until the next fiscal year.

  • CBSA Name

    Geographic location name as defined by the Office of Management and Budget

  • CBSA Type

    A CBSA sub-classification:
    Micro - 10,000 to 50,000 population
    Metro - 50,000 + population