CHAPTER 126. HEALTH CARE UNDER THE WORKERS’ COMPENSATION ACT—
STATEMENT OF POLICY

Sec.


126.1.    Medical fee updates.

Source

   The provisions of this §  126.1 adopted December 13, 2002, effective December 14, 2002, 32 Pa.B. 6137, unless otherwise noted.

§ 126.1. Medical fee updates.

 When submitting data under §  127.155(c) (relating to medical fee updates on and after January 1, 1995—outpatient acute care providers, specialty hospitals and other cost-reimbursed providers), all codes submitted to the Bureau of Workers’ Compensation shall be based upon the appropriate International Classification of Disease (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) code. If these codes are not available, providers shall submit data in a form mandated by the United States Department of Health and Human Services as published in 45 CFR Parts 160 and 162 (2000) (relating to general administrative requirements; and requirements), as amended. Providers submitting this data may append an appropriate modifier to the code to account for interfacility distinctions in treatment or billing procedures.



No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.