California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 4.5 - Division of Workers' Compensation
Subchapter 1 - Administrative Director-Administrative Rules
Article 5.3 - Official Medical Fee Schedule
- Section 9789.10 - Physician Services Rendered on or After July 1, 2004, but Before January 1, 2014 - Definitions
- Section 9789.11 - Physician Services Rendered on or After July 1, 2004, but Before January 1, 2014
- Section 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
- Section 9789.12.2 - Calculation of the Maximum Reasonable Fee - Services Other than Anesthesia
- Section 9789.12.3 - Status Codes C, I, N and R
- Section 9789.12.4 - "by Report" - Reimbursement for Unlisted Procedures/Procedures Lacking RBRVUs
- Section 9789.12.5 - Conversion Factors
- Section 9789.12.6 - Geographic Health Professional Shortage Area Bonus Payment: Primary Care; Mental Health
- Section 9789.12.7 - CMS' National Physician Fee Schedule Relative Value File / Relative Value Units (RVUs)
- Section 9789.12.8 - Status Codes
- Section 9789.12.9 - Professional Component (PC)/Technical Component (TC) Indicator
- Section 9789.12.10 - Coding; Current Procedural Terminology, Fourth Edition
- Section 9789.12.11 - Evaluation and Management: Coding - New Patient; Established Patient; Documentation
- Section 9789.12.12 - Consultation Services Coding - Use of Visit Codes
- Section 9789.12.13 - Correct Coding Initiative
- Section 9789.12.14 - California Specific Codes
- Section 9789.12.15 - California Specific Modifier
- Section 9789.13.1 - Supplies
- Section 9789.13.2 - Physician-Administered Drugs, Biologicals, Vaccines, Blood Products
- Section 9789.13.3 - Physician-Dispensed Drugs
- Section 9789.14 - Reimbursement for Reports, Duplicate Reports, Chart Notes
- Section 9789.15.1 - Non-Physician Practitioner (NPP) - Payment Methodology
- Section 9789.15.2 - Non-Physician Practitioner (NPP) - "Incident to" Services
- Section 9789.15.3 - Qualified Non-Physician Anesthetist Services
- Section 9789.15.4 - Physical Medicine/Chiropractic/Acupuncture Multiple Procedure Payment Reduction; Pre-Authorization for Specified Procedure/Modality Services
- Section 9789.15.5 - Ophthalmology Multiple Procedure Reduction
- Section 9789.15.6 - Diagnostic Cardiovascular Procedures - Multiple Procedure Reduction
- Section 9789.16.1 - Surgery - Global Fee
- Section 9789.16.2 - Surgery - Billing Requirements for Global Surgeries
- Section 9789.16.3 - Surgery - Global Fee - Miscellaneous Rules
- Section 9789.16.4 - Surgery - Global Fee; Exception: Circumstances Allowing E and M Code During the Global Period; Primary Treating Physician's Progress Report (PR-2)
- Section 9789.16.5 - Surgery - Multiple Surgeries and Endoscopies
- Section 9789.16.6 - Surgery - Bilateral Surgeries
- Section 9789.16.7 - Surgery - CO-Surgeons and Team Surgeons
- Section 9789.16.8 - Surgery - Assistants-at-Surgery
- Section 9789.17.1 - Radiology Diagnostic Imaging Multiple Procedures
- Section 9789.17.2 - Radiology Consultations
- Section 9789.17.3 - Additional Payment Reductions for Certain Diagnostic Imaging Services
- Section 9789.18.1 - Payment for Anesthesia Services - General Payment Rule
- Section 9789.18.2 - Anesthesia - Personally Performed Rate
- Section 9789.18.3 - Anesthesia - Medically Directed Rate
- Section 9789.18.4 - Anesthesia - Definition of Concurrent Medically Directed Anesthesia Procedures
- Section 9789.18.5 - Anesthesia - Medically Supervised Rate
- Section 9789.18.6 - Anesthesia - Multiple Anesthesia Procedures
- Section 9789.18.7 - Anesthesia - Medical and Surgical Services Furnished in Addition to Anesthesia Procedure
- Section 9789.18.8 - Anesthesia - Time and Calculation of Anesthesia Time Units
- Section 9789.18.9 - Anesthesia - Base Unit Reduction for Concurrent Medically Directed Procedures
- Section 9789.18.10 - Anesthesia - Monitored Anesthesia Care
- Section 9789.18.11 - Anesthesia Claims Modifiers
- Section 9789.18.12 - Anesthesia and Medical/Surgical Service Provided by the Same Physician
- Section 9789.19 - Update Table
- Section 9789.19.1 - Table A
- Section 9789.20 - General Information for Inpatient Hospital Fee Schedule - Discharge on or After July 1, 2004
- Section 9789.21 - Definitions for Inpatient Hospital Fee Schedule
- Section 9789.22 - Payment of Inpatient Hospital Services
- Section 9789.23 - Hospital Cost to Charge Ratios, Hospital Specific Outliers, and Hospital Composite Factors
- Section 9789.24 - Diagnostic Related Groups, Relative Weights, Geometric Mean Length of Stay
- Section 9789.25 - Federal Regulations, Federal Register Notices, and Payment Impact File by Date of Discharge
- Section 9789.30 - Hospital Outpatient Departments and Ambulatory Surgical Centers - Definitions
- Section 9789.31 - Hospital Outpatient Departments and Ambulatory Surgical Centers-Adoption of Standards
- Section 9789.32 - Outpatient Hospital Departments and Ambulatory Surgical Centers Fee Schedule - Applicability
- Section 9789.33 - Hospital Outpatient Departments and Ambulatory Surgical Centers Fee Schedule - Determination of Maximum Reasonable Fee
- Section 9789.34 - Table A
- Section 9789.35 - Table B
- Section 9789.36 - Update of Rules to Reflect Changes in the Medicare Payment System
- Section 9789.37 - DWC Form 15 Election for High Cost Outlier
- Section 9789.38 - Appendix X
- Section 9789.39 - Update Table by Date of Service
- Section 9789.40 - Pharmacy
- Section 9789.50 - Pathology and Laboratory
- Section 9789.60 - Durable Medical Equipment, Prosthetics, Orthotics, Supplies
- Section 9789.70 - Ambulance Services
- Section 9789.80 - Skilled Nursing Facility. [Reserved]
- Section 9789.90 - Home Health Care. [Reserved]
- Section 9789.100 - Outpatient Renal Dialysis. [Reserved]
- Section 9789.110 - Update of Rules to Reflect Changes in the Medicare Payment System
- Section 9789.111 - Effective Date of Fee Schedule Provisions
Disclaimer: These regulations may not be the most recent version. California may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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