Regulations
| 9789.12.1....Physician Fee Schedule: Official Medical Fee Schedule for Physician and Non-Physician Practitioner Services - For Services Rendered On or After January 1, 2014 | |
| Â (2) Osteopathic Manipulation Codes (98925-98929) are to be used only by licensed Doctors of Osteopathy and Medical Doctors. Â (c) Physicians and non-physician ...more | |
| 9789.12.9....Professional Component (PC)/Technical Component (TC) Indicator | |
| The total RVUs for professional component only codes include values for physician work, practice expense, and malpractice expense. =  Technical Component Only ...more | |
| 9789.13.2....Physician-Administered Drugs, Biologicals, Vaccines, Blood Products | |
| (a) Physician-administered drugs, biologicals, vaccines, or blood products are separately payable. Other physician-administered drugs, biological and blood products shall ...more | |
| 9789.13.3....Physician-Dispensed Drugs | |
| The maximum reimbursement for physician-dispensed drugs is determined pursuant to the Pharmaceutical Fee Schedule set forth in section 9789. 40 and pursuant to the ...more | |
| 9789.15.4....Physical Medicine/Chiropractic/Acupuncture Multiple Procedure Payment Reduction; Pre-Authorization for Specified Procedure/Modality Services | |
| Â (2) Many therapy services are time-based codes, i. e. , multiple units may be billed for a single procedure. The MPPR applies to the Practice Expense ...more | |
| 9789.18.1....Payment for Anesthesia Services - General Payment Rule | |
| The fee schedule amount for physician anesthesia services is, with the exceptions noted, based on allowable base and time units multiplied by an anesthesia conversion ...more | |
| 9789.22....Payment of Inpatient Hospital Services | |
| (A) Unless otherwise provided, except for inpatient services provided by a hospital transferring an inpatient to another hospital or post-acute care provider in ...more | |
| 9789.40....Pharmacy | |
| (a) The maximum reasonable fee for pharmaceuticals and pharmacy services rendered after January 1, 2004 is 100% of the reimbursement prescribed in the relevant Medi-Cal ...more | |
| 9789.50....Pathology and Laboratory | |
| (a) Effective for services after January 1, 2004, the maximum reasonable fees for pathology and laboratory services shall not exceed one hundred twenty (120) percent of ...more | |
| 9792.2....Payment of Inpatient Services of Health Facilities | |
| The fee determined under this subdivision shall be a global fee, constituting the maximum reimbursement to a health facility for inpatient medical services not exempted ...more | |
