№ files_lp_4_process_2_76915
Administrative order establishing updated maximum fees for pathology and clinical laboratory services within the California workers’ compensation system based on Medicare payment schedule adjustments and specified COVID-19 testing codes.
Year: 2023
Jurisdiction: California, United States
Document Type: Administrative Order
Issuing Authority: Division of Workers’ Compensation, Department of Industrial Relations, State of California
Authorizing Official: Administrative Director George P. Parisotto
Legal Basis: California Labor Code section 5307.1(g)
Regulatory Reference: Title 8, California Code of Regulations, section 9789.50
Subject: Official Medical Fee Schedule for Pathology and Clinical Laboratory Services
Medicare Reference Source: Centers for Medicare & Medicaid Services (CMS), Medicare Clinical Laboratory Fee Schedule
CMS Reference: Transmittal 12210, Change Request CR 13321 (August 17, 2023)
Effective Date: October 1, 2023
Earlier Effective Date for Certain Codes: April 1, 2021
Pricing Method: 120% of applicable Medicare Clinical Laboratory Fee Schedule rates
Additional Pricing Authority: California Medicare Administrative Contractor Noridian
Relevant Medical Codes: CPT 86409; CPT 86413
Publication Location: Division of Workers’ Compensation Pathology and Clinical Laboratory webpage
Date Signed: September 28, 2023
Price: 8 / 10 USD
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