2019 MARFS

Fee Schedules

Effective July 1, 2019.

This site contains the policies, payment methods, billing codes, and maximum fees used to pay health care and vocational providers who treat injured workers.

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Make sure to check the Updates & Corrections tab for any changes to the Fee schedules. Read about the highlights of changes in the last year. These changes are also included in the payment policies.

graphic of PDF icon 2019 Quick Reference Fee Schedule

Professional and Facility Services Fee Schedules (July 2019)
Item
Excel
Professional Services Fee Schedule – Excel spreadsheet of the complete fee schedule excluding the ASC Fees, AP-DRGs, Hospital Rates and Residential Facility Rates. 1.84 MB
Item
PDF graphic of PDF icon
Anesthesia - CPT ™ 00100 - 01999 267 KB
Evaluation and Management - CPT ™ 99201 - 99499 355 KB
Surgery - CPT ™ 10021 - 69990 3.96 MB
Radiology - CPT ™ 70010 - 79999 1.42 MB
Pathology and Laboratory - CPT ™ 80047 - 89356 1.31 MB
Medicine - CPT ™ 90281 - 99607 1.27 MB
CPT ™ Category II and III - CPT ™ 0001F - 0192T 771 KB
HCPCS - HCPCS A0021 - V5364 4.93 MB
Medical and Surgical Supplies Codes - HCPCS A4206-A9999
(For DME Providers)
557 KB
Facility Only Codes - C1300 - S0093 413 KB
Local Codes by Code - 0401A - 5093V, R0310 - R0392, & V0028 225 KB
Local Codes by Specialty - 0401A - 5093V, R0310 - R0392, & V0028 311 KB
ASC Fee Schedules - All approved codes 1.06 MB
APR-DRG Assignment - Version 31 638 KB
Hospital Rates 180 KB
Residential Facility Rates 144 KB

Fee Schedules - Comma delimited version graphic of CSV icon Field Key
Complete fee schedule excluding the ASC Fees, AP-DRGs, Hospital Rates and Residential Facility Rates. 1.65 MB 94 KB
Anesthesia 14 KB  
Ambulatory Surgery Center 108 KB 76 KB
APR-DRG 92 KB 3 KB
Hospital 14 KB 3 KB

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