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 9789.12.14 - California Specific Codes
Physicians and non-physician practitioners shall use the "California Specific Codes" listed below. Maximum reasonable fees for services performed by physicians and non-physician practitioners within their scope of practice shall be no more than the fee listed in section 9789.19, by date of service. The fees shall be updated annually in accordance with the Medicare Economic Index.
| CA Code | Procedure |
| WC001 | Doctor's First Report of Occupational Illness or Injury (Form 5021) (Section 9789.14(a)(1)) |
| WC002 | Treating Physician's Progress Report (PR-2 or narrative equivalent in accordance with § 9785) (Section 9789.14(b)(1)) |
| WC003 | Primary Treating Physician's Permanent and Stationary Report (Form PR-3) (Section 9789.14(b)(2)) |
| WC004 | Primary Treating Physician's Permanent and Stationary Report (Form PR-4) (Section 9789.14(b)(3)) |
| WC005 | Psychiatric Report requested by the WCAB or the Administrative Director, other than medical-legal report. Use modifier -32 (Section 9789.14(b)(4)) |
| WC006 | [Reserved] |
| WC007 | Consultation Reports Requested by the Workers' Compensation Appeals Board or the Administrative Director (Use modifier -32) Consultation Reports requested by the QME or AME in the context of a medical-legal evaluation (Section 9789.14(b)(5)). (Use modifier -30) |
| WC008 | Chart Notes (Section 9789.14(c)) |
| WC009 | Duplicate Reports (Section 9789.14(d)) |
| WC010 | Duplication of X-Ray |
| WC011 | Duplication of Scan |
| WC012 | Missed Appointments. This code is designated for communication only. It does not imply that compensation is owed. |
1. New section filed 9-24-2013; operative 1-1-2014. Submitted to OAL as a file and print only pursuant to Government Code section 11340.9(g) (Register 2013, No. 39).
Note: Authority: Sections 133, 4603.5, 5307.1 and 5307.3, Labor Code. Reference: Sections 4600, 5307.1 and 5307.11, Labor Code.
