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California Code of Regulations, Title 8
Chapter 4.5. Division of Workers' Compensation
Subchapter 1. Administrative Director--Administrative Rules
Chapter 4.5. Division of Workers' Compensation
Subchapter 1. Administrative Director--Administrative Rules
Article 5.3. Official Medical Fee Schedule - Services Rendered after January 1, 2004
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- § 9789.10. Physician Services Rendered on or After July 1, 2004, but Before January 1, 2014 - Definitions.
- §9789.11. Physician Services Rendered on or After July 1, 2004, but Before January 1, 2014.
- § 9789.12.1. Medical Fee Schedule for Physician and Non-Physician Practitioner Services - For Services Rendered On or After January 1, 2014.
- § 9789.12.2. Calculation of the Maximum Reasonable Fee - Services Other than Anesthesia.
- § 9789.12.3. Status Codes C, I, N and R.
- § 9789.12.4. "By Report" - Reimbursement for Unlisted Procedures/Procedures Lacking RBRVUs.
- § 9789.12.5. Conversion Factors.
- § 9789.12.6. Health Professional Shortage Area Bonus Payment: Primary Care; Mental Health.
- § 9789.12.7. CMS National Physician Fee Schedule Relative Value File / Relative Value Units (RVUs).
- § 9789.12.8. Status Codes.
- § 9789.12.9. Professional Component (PC)/Technical Component (TC) Indicator.
- § 9789.12.10. Coding; Current Procedural Terminology©, Fourth Edition.
- § 9789.12.11. Evaluation and Management: Coding - New Patient; Documentation.
- § 9789.12.12. Consultation Services Coding - Use of Visit Codes.
- § 9789.12.13. Correct Coding Initiative.
- § 9789.12.14. California Specific Codes.
- § 9789.12.15. California Specific Modifier.
- § 9789.13.1. Supplies.
- § 9789.13.2. Physician-Administered Drugs, Biologicals, Vaccines, Blood Products.
- § 9789.13.3. Physician-Dispensed Drugs.
- § 9789.14. Reimbursement for Reports, Duplicate Reports, Chart Notes.
- § 9789.15.1. Non-Physician Practitioner (NPP) - Payment Methodology.
- § 9789.15.2. Non-Physician Practitioner (NPP) - "Incident To" Services.
- § 9789.15.3. Qualified Non-Physician Anesthetist Services.
- § 9789.15.4. Physical Medicine/Chiropractic/Acupuncture Multiple Procedure Payment Reduction; Pre-Authorization for Specified Procedure/Modality Services.
- § 9789.15.5. Ophthalmology Multiple Procedure Reduction.
- § 9789.15.6. Diagnostic Cardiovascular Procedures - Multiple Procedure Reduction.
- § 9789.16.1. Surgery - Global Fee.
- § 9789.16.2. Surgery - Billing Requirements for Global Surgeries.
- § 9789.16.3. Surgery - Global Fee - Miscellaneous Rules.
- § 9789.16.4. Surgery - Global Fee; Exception: Circumstances Allowing E&M Code During the Global Period; Primary Treating Physician’s Progress Report (PR-2).
- § 9789.16.5. Surgery - Multiple Surgeries and Endoscopies.
- § 9789.16.6. Surgery - Bilateral Surgeries.
- § 9789.16.7. Surgery - Co-Surgeons and Team Surgeons.
- § 9789.16.8. Surgery - Assistants-at-Surgery.
- § 9789.17.1. Radiology Diagnostic Imaging Multiple Procedures.
- § 9789.17.2. Radiology Consultations.
- § 9789.17.3. Additional Payment Reductions for Certain Diagnostic Imaging Services.
- § 9789.18.1. Payment for Anesthesia Services - General Payment Rule.
- § 9789.18.2. Anesthesia - Personally Performed Rate.
- § 9789.18.3. Anesthesia - Medically Directed Rate.
- § 9789.18.4. Anesthesia - Definition of Concurrent Medically Directed Anesthesia Procedures.
- § 9789.18.5. Anesthesia - Medically Supervised Rate.
- § 9789.18.6. Anesthesia - Multiple Anesthesia Procedures.
- § 9789.18.7. Anesthesia - Medical and Surgical Services Furnished in Addition to Anesthesia Procedure.
- § 9789.18.8. Anesthesia - Time and Calculation of Anesthesia Time Units.
- § 9789.18.9. Anesthesia - Base Unit Reduction for Concurrent Medically Directed Procedures.
- § 9789.18.10. Anesthesia - Monitored Anesthesia Care.
- § 9789.18.11. Anesthesia Claims Modifiers.
- § 9789.18.12. Anesthesia and Medical/Surgical Service Provided by the Same Physician.
- § 9789.19. Update Table.
- § 9789.19.1 Table A.
- §9789.20.General Information for Inpatient Hospital Fee Schedule - Discharge on or After July 1, 2004.
- § 9789.21. Definitions for Inpatient Hospital Fee Schedule.
- § 9789.22. Payment of Inpatient Hospital Services.
- § 9789.23.Hospital Cost to Charge Ratios, Hospital Specific Outliers, and Hospital Composite Factors.
- § 9789.24. Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay.
- § 9789.25. Federal Regulations, Federal Register Notices, and Payment Impact File by Date of Discharge.
- § 9789.30. Hospital Outpatient Departments and Ambulatory Surgical Centers - Definitions.
- § 9789.31. Hospital Outpatient Departments and Ambulatory Surgical Centers - Adoption of Standards.
- § 9789.32. Outpatient Hospital Department and Ambulatory Surgical Center Fee Schedule - Applicability.
- § 9789.33. Hospital Outpatient Departments and Ambulatory Surgical Facilities Fee Schedule - Determination of Maximum Reasonable Fee.
- § 9789.34. Table A.
- § 9789.35. Table B.
- § 9789.36. Update of Rules to Reflect Changes in the Medicare Payment System.
- § 9789.37. DWC Form 15 Election for High Cost Outlier.
- § 9789.38. Appendix X.
- § 9789.39. Federal Regulations and Federal Register Notices by Date of Service.
- § 9789.40. Pharmacy.
- § 9789.50. Pathology and Laboratory.
- § 9789.60. Durable Medical Equipment, Prosthetics, Orthotics, Supplies.
- § 9789.70. Ambulance Services.
- § 9789.80. Skilled Nursing Facility. [Reserved]
- § 9789.90. Home Health Care. [Reserved]
- § 9789.100. Outpatient Renal Dialysis. [Reserved]
- § 9789.110. Update of Rules to Reflect Changes in the Medicare Payment System.
- § 9789.111. Effective Date of Fee Schedule Provisions.
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