2009 Fee Schedules
 
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Updates & Corrections

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Updates

Payment policy updates
Payment policy updates
Posting date Description
October 26, 2009

The Psychiatric Payment Policies were updated to include services payable to psychiatric ARNPs. PDF FilePsychiatric Payment Policies

September 30, 2009 Effective November 1, 2009 the department's Chronic Pain Management Policy will be updated. Please see Provider Bulletin 09-07 for details.
September 21, 2009

PDF FileEffective July 31, 2009, psychiatric ARNPs may treat injured workers.”

September 15, 2009 As of September 26, 2009, the department will continue to use the Average Wholesale Price provided by First DataBank® for Prescription Drug Pricingprescription drug pricing.
August 25, 2009

July2009Updates Physicians final report for medical only claims.  Establishes the Physicians Final report as an option for medical only claims.

July 21, 2009 July2009UpdatesImpairment Rating Exam and Report by Attending Provider - This clarifies who may perform impairment ratings and when the ratings require prior authorization.
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Fee schedules updates
Fee schedule updates
Posting date Description Updated version
October 15, 2009 Chronic Pain Management SIMP Follow up codes 2014M and 2015M must be billed by the minute.  Please click on the link to the PDF Billing Codes Instructions document for more details. Oct2009Updates Billing Codes Instructions (SIMP follow up codes)
September 15, 2009 Additional HCPCS codes effective October 1, 2009 Oct2009Updates October 2009 Updates
August 25, 2009 Physicians final report for medical only claims.  Payment code, amount ($25) and effective date. 2009Updates 1026M Fee Schedule Update
July 6, 2009 The following procedures will not be covered by Labor and Industries in Ambulatory Surgery Center facilites effective August 15, 2009. July2009Updates August 2009 Updates
June 29, 2009 Additional CPT® and HCPCS codes effective 7/1/2009. July2009Updates July 2009 Updates
June 16, 2009

Fee's for the following CPT ® codes are being updated based on RVU changes from CMS.

CPT ® code Non-Facility Fee Facility Fee
93555
$195.67
$195.67
93555-26
$76.30
$76.30
93555-TC
$119.37
$119.37
93556
$272.58
$272.58
93556-26
$78.14
$78.14
93556-TC
$195.05
$195.05
None.
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Corrections

Payment policies corrections
Payment policy corrections
Posting date Page(s) Description
   

None at this time...

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Fee schedule corrections
Fee schedules corrections
Posting date Description Updated version
July 6, 2009

The maximum fee for Plan Implementation Referral Cap, per referral was incorrectly listed in the Vocational Services section of the 2009 Labor and Industries Payment Policies.  The correct maximum fee is:

Description Applicable Codes Maximum Fee
Plan implementation Referral Cap, per referral 0840V, 0841V $6,818.00

 

None.
June 30, 2009 ASC Fee Schedule corrections for codes NOT covered. July2009Updates July 2009 ASC Fee Schedule corrections
June 22, 2009

Some fees were incorrectly listed in the July 1, 2009 fee schedule. Listed below are the corrections.

HCPCS Code Non-Facility Setting Facility Setting
J1675
$3.26
$3.26
R0075-UN
$82.43
$82.43
R0075-UP
$54.95
$54.95
R0075-UQ
$41.21
$41.21
R0075-UR
$32.97
$32.97
None.
June 19, 2009 The following CPT ® codes 70554, 70555, 70557, 70558, and 70559 were inadvertently listed as covered in the fee schedule. These procedures are NOT Covered. None.
June 16, 2009

CPT® code 88380 was inadvertently listed as By Report in the fee schedule. This code is Not Covered.

 None.
 

 

 



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