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Official form guide
IRS Form 8959 is used to calculate the 0.9% Additional Medicare Tax on wages, self‑employment income, and RRTA compensation that exceed the $200,000 threshold, and must be filed by taxpayers who owe or have had this tax withheld.
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IRS Form 8959 is used to calculate the 0.9% Additional Medicare Tax on wages, self‑employment income, and RRTA compensation that exceed the $200,000 threshold, and must be filed by taxpayers who owe or have had this tax withheld.
Plain English
Form 8959 tells you how much extra Medicare tax you need to pay on high earnings. You add up wages, self‑employment earnings, and railroad compensation that go over $200,000, apply the 0.9% rate, and report the total with your tax return.
Submission Date
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Filing an individual income tax return
Form 8959 must be attached to the individual return
✓ Confirm you are using the correct 1040 version for 2026
Filing a nonresident alien return
Nonresident returns also require attachment of Form 8959 if tax applies
✓ Verify filing status matches nonresident requirements
Expecting to owe Additional Medicare Tax and need to make payments
Estimated payments cover the tax due before filing
✓ Calculate estimated tax using the worksheet in Pub. 505
Not stated in the official source.
Checklist
Medicare wages and tips (Form W-2 box 5)
Form W-2 (or equivalent territorial forms) · Box 5 of Form W-2
RRTA compensation (Form W-2 box 14)
Form W-2 (or equivalent) · Box 14 of Form W-2
Self‑employment income
Schedule SE or self‑employment earnings records · Schedule SE attached to Form 1040
Unreported tips (Form 4137 line 6)
Form 4137 · Line 6 of Form 4137
Wages from Form 8919 (line 6)
Form 8919 · Line 6 of Form 8919
Field map
Entity Info
1 items
Name and taxpayer ID of the entity claiming the credit.
Credit Info
1 items
Type of credit or incentive being claimed.
Calculation
2 items
The base amount used to calculate the credit.
Calculated credit amount after applying formulas and limitations.
Certification
1 items
Detailed breakdown supporting the credit calculation.
Signatures
1 items
Sign and date the form.
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Fillable formOpen in Editor->The form is the 20/25 edition. For the latest developments, the instructions direct filers to IRS.gov/Form8959.
Quick Facts
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Do I need to file Form 8959 if my employer already withheld Additional Medicare Tax?
The form is required to report the tax and claim any credit, even when tax was withheld.
→ Verify that line 24 on Form 8959 is entered on the appropriate line of your Form 1040 return.
What threshold applies to my filing status?
The instruction lists different dollar amounts for each filing status.
→ Check the filing‑status table on Instructions p.1 for the correct threshold.
Is self‑employment income taxed if I already have Medicare wages above the threshold?
The self‑employment threshold is reduced by the amount of Medicare wages, but not below zero.
→ Confirm the reduced threshold calculation on the worksheet in the instructions.
Do I include my spouse’s Additional Medicare Tax withheld on a joint return?
Joint returns must include spouse’s withheld tax per the instructions.
→ Ensure the amount from line 24 is entered on line 25c of Form 1040 (or line 11a of Form 1040‑SS).
Which box on Form W‑2 reports Medicare wages for this calculation?
Box 5 contains Medicare wages and tips; for Form 499R‑2/W‑2PR, box 22 is used.
→ Verify that box 5 (or box 22 for PR) exceeds $200,000 before filing.
What forms do I need to attach if I correct my wages after filing?
A corrected Form 8959 must be accompanied by a corrected wage statement.
→ Attach Form W‑2c (or the original Form W‑2) with the corrected Form 8959.
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Form 8959 tells you how much extra Medicare tax you need to pay on high earnings. You add up wages, self‑employment earnings, and railroad compensation that go over $200,000, apply the 0.9% rate, and report the total with your tax return.
Taxpayers who owe Additional Medicare Tax or whose employer withheld it must file IRS Form 8959 with their Form 1040 series return.
The form collects Medicare wages, self‑employment income, and RRTA compensation, calculates the 0.9% tax on each (Lines 7, 8, 17), and reconciles any tax already withheld (Line 19).
Enter your name and Social Security number, then report Medicare wages in Part I and compute Line 7 by multiplying by 0.9%. Report self‑employment income in Part II (Line 8) and RRTA compensation in Part III (Line 14, then Line 17). Reconcile any Medicare tax withheld in Part V (Line 19) and attach the completed Form 8959 to your Form 1040 series return.
If the tax is not paid timely, you may face an estimated‑tax penalty for waiting to pay the Additional Medicare Tax with your return.
The form is required to report the tax and claim any credit, even when tax was withheld. Verify that line 24 on Form 8959 is entered on the appropriate line of your Form 1040 return.
The instruction lists different dollar amounts for each filing status. Check the filing‑status table on Instructions p.1 for the correct threshold.
The self‑employment threshold is reduced by the amount of Medicare wages, but not below zero. Confirm the reduced threshold calculation on the worksheet in the instructions.
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