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Deposition Witness Fee.

12/18/2020
if the provider submits a bill for the fee using the CPT code for the service. C. Reimbursement for a deposition is limited to the amount published in the "Official Maryland Workers' Compensation Medical Fee Guide 1995" for the appropriate CPT code.

Category: Regulations

Deposition Witness Fee.

12/18/2020
if the provider submits a bill for the fee using the CPT code for the service. C. Reimbursement for a deposition is limited to the amount published in the "Official Maryland Workers' Compensation Medical Fee Guide 1995" for the appropriate CPT code.

Category: Regulations

Texas Board of Chiropractic Examiners v. Texas Medical Assoc.

12/18/2020
procedures that are incisive or surgical. A The use of a needle for a procedure is incisive if the procedure results in the removal of tissue other than for the purpose of drawing blood. B The use of a needle for a procedure is surgical if the procedure is listed in the surgical section of the CPT

Category: Cases

Surgery - Multiple Surgeries and Endoscopies

12/18/2020
endoscopic procedures. For each endoscopic procedure with an indicator of “3” the Endoscopic Base Code “Endo Base” column indicates the related base endoscopy code. Those codes that share a base code are in the same “family” and are “related.”  

Category: Regulations

Re: ML-102 (California)

08/06/2009
can justify the EM services as CPT 99204 or 99205 does a medical records review CPT 99358 and writes a narrative report CPT 99080 encompassing both the office visit and the records review. Note that a narrative initial-visit treatment report that does not include a records review is not

Category: Forums

Kentucky Physicians' Fee Schedule Updated

01/04/2006
An update of the Kentucky medical-fee schedule for physicians is completed and the changes will apply to all services starting on Feb. 15 the Office of Workers' Claims announced. The new schedule will replace the 2001 version and feature updated coding based on CPT 2004 ground rules and

Category: News

Re: Questoin re: provider contracts and IBR (California)

02/06/2015
I figured so. We have a few clients that do a lot of functional restoration programs which bills CPT 97799 with modifier 86. What's odd is if you look up the DWC IBR's for this program or CPT Maximus is applying contract rates but if there if a contract in place the WCABDIR has no jurisdiction

Category: Forums

Re: shockwave therapy (California)

06/18/2015
procedure. So the elephant in the room is . . . What did UR say Shockwave therapy is recognized as effective only for treatment of plantar fasciitis CPT 28890. This CPT code is not listed in the OMFS. Claims adjusters and bill reviewers are taught to analogize procedures for which there is no RVS to

Category: Forums

Fla. Workers' Compensation Legislative & Regulatory Update

04/07/2007
Association Uniform Billing Manual that set out separate revenue codes for each service and supplies utilized in the hospital inpatient setting outpatient surgical centers bill payers based on CPT codes that encompass all charges involved in a medical procedure to treat an injured worker. Until

Category: Industry Insights

Medical Cost Containment Program

12/17/2020
Administration Common Procedure Coding System HCPCS. Procedure codes used in Rule 30 were developed and copyrighted by the American Medical Association. 2. The most current edition of the Current Procedural Terminology CPT should be used for Rule 30 Guidelines. C. Procedures For Which

Category: Regulations

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