WorkCompCentral will be closed Friday, July 4 in observance of Independence Day. Our offices will reopen on Monday, July 7. Have a happy and safe holiday.

Call or email us anytime
(805) 484-0333
Search Guide
Today is Friday, July 04, 2025 -

News Articles

Keystone State Releases New Medical Fee Schedule

  • State: Pennsylvania
  • Topic: NORTH
  • - Popular with: Legal
  • -  1 share

The Pennsylvania Department of Labor & Industry has released its 2018 medical fee schedule, which includes an increase corresponding to a 3% rise in the average weekly wage in the state, the department announced this week.

The schedule covers Part A medical providers, such as skilled nursing facilities, home health agencies, ambulatory surgical centers, pharmacies and physical therapy providers, as well as other providers covered under Part B, according to a bulletin.

Since 1995, medical fees for outpatient services are capped at 113% of the Medicare reimbursement rate and are updated annually by the percentage change in the statewide weekly average, a memo explains.

"If a Medicare allowance does not exist for a reported HCPCS (health care common procedure coding system) code, or successor codes, the provider shall be paid either 80% of the usual and customary charge, or the actual charge, whichever is lower," the memo said.

Questions or comments about the fees may be sent to RA-LI-BWC-HCSRD@pa.gov.

No Comments

Log in to post a comment

Close


Do not post libelous remarks. You are solely responsible for the postings you input. By posting here you agree to hold harmless and indemnify WorkCompCentral for any damages and actions your post may cause.

Advertisements

Upcoming Events

Workers' Compensation Events

Social Media Links


WorkCompCentral
c/o Business Insurance Holdings, Inc.
PO Box 1010
Greenwich, CT 06836
(805) 484-0333