Durable medical equipment is not covered by California’s Physician and Non-Physician Practitioner’s Fee Schedule, but a doctor can bill and be reimbursed for dispensing hardware to injured workers, the Division of Workers’ Compensation said.
The DWC said it updated the FAQs in response to an increasing number of inquiries regarding reimbursement for DME dispensed by physicians. Individuals contacting the agency asked whether the Medically Unlikely Edits in the physician’s fee schedule bar payment for equipment dispensed to their patients.
“Under the physician fe...
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