Regulations
| 9789.12.8....Status Codes | |
| The Medicare Status Codes have been adapted for worser's compensation and have the following meanings: Â AÂ =Â Â Active Code. Â These codes are paid ...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 | |
| 9789.13.1....Supplies | |
| (a) Separate payment for routinely bundled supplies is not allowed. Â (c) Splints and casting supplies are payable separately in addition to payment for the procedure ...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 | |
| 9789.14....Reimbursement for Reports, Duplicate Reports, Chart Notes | |
| Â (4) Physician's Return-to-Work & Voucher Report (DWC-AD 10133. 36) issued in accordance with section 9785 subdivision (i) (reimbursement is bundled into payment for ...more | |
| 9789.15.1....Non-Physician Practitioner (NPP) - Payment Methodology | |
| Â (b) Except for clinical social workers, maximum fees for NPP services shall be 85 percent of what a physician is paid under the Official Medical Fee Schedule - ...more | |
| 9789.15.2....Non-Physician Practitioner (NPP) - âIncident Toâ Services | |
| Â (2) NPPs may provide services without direct physician supervision and bill directly for these services. When their services are provided under direct physician ...more | |
| 9789.15.3....Qualified Non-Physician Anesthetist Services | |
| Â (b) The maximum fee for anesthesia services furnished by qualified non-physician anesthetists is the fee determined by this section and section 9789. 18. 1. Â ...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 | |
