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2009 HCS Rule Updates

DATE:  July 7, 2009
 

 

TO:

All Workers' Compensation Carriers
All Interested Parties

   

FROM:

Health Care Services Division

The following Health Care Services (HCS) rule updates for 2009 will be effective July 7, 2009 and will provide for the following:

  • Rule 107 updates all source documents for coding medical services. The fee tables list only the procedure code and maximum allowable payments.
  • Rule 418.101002a updates the practitioner fees by using 2008 published relative value data and a conversion factor of $50.70.
  • Rule 418.10109 clarifies the primary procedure code as the highest assigned relative value unit (RVU). 
  • Rule 418.10117 clarifies how the 3% penalty is to be paid.
  • Rule 418.10212 (9)b changes the payment of hot and cold packs to be in alignment with Medicare.
  • Rule 418.10212 (9)d deletes the wording "Phonophoresis shall include electrodes."
  • Rule 418.10213 rescinds the rule's splint wording. 
  • Rule 418.10212 and R 418.10905 corrects the wording of certified to registered.
  • Rules 418.10214, 418.10905, 418.101504, 418.101003 clarify, update, and specify how L-codes are paid and separates the L-code from the rule. 
  • Rule 418.101006 deletes code 90871.
  • Rule 418.101016 corrects the wording about how carriers are to negotiate out-state provider's bills or pay their state's fees, rather than to do both.

You may browse, download or bookmark the 2009 HCS Rules, Manual and Fee Schedules.

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