№ files_lp_4_process_2_88261
Year: 2014
Jurisdiction: California, United States
Subject: Medical fee regulation for physician and non-physician practitioner services
Document Type: Regulatory Code / Administrative Regulation
Issuing Authority: California Division of Workers’ Compensation
Author: Administrative Director
Applicable Codes: Labor Code §§ 4600, 5307.1, 5307.11
Effective Date: January 1, 2014
Scope: Physician and non-physician practitioners, including licensed osteopathic doctors and medical doctors
Fee Calculation Method: Maximum reasonable fees based on Official Medical Fee Schedule, RVU, GAF, GPCI, and Conversion Factor
Service Settings: Facility and Non-Facility sites, including offices, telehealth, schools, prisons, and assisted living facilities
Excluded Services: Services covered by contract under Labor Code §5307.11
References: Sections 133, 4603.5, 5307.1, 5307.3 of the Labor Code
Official Sections: 9789.12.1–9789.19.1
Provides Detailed Fee Calculation For: Evaluation and management, osteopathic manipulation, pharmaceuticals, pathology, clinical laboratory, durable medical equipment, prosthetics, orthotics, and supplies
Price: 8 / 10 USD
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