Medical
The April 1, 2009, Georgia Workers' Compensation Medical Fee Schedule is available for purchase. Click on the link(s) below which will direct you to the website where you can place your order.
Be sure to check this website for any updates to each year's fee schedule as they will be posted here.
Some notable changes to the 2009 fee schedule are as follows:
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Maximum allowable reimbursements (MAR) have all been recalculated.
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CPT codes were updated with code additions, deletions and revisions in accordance with the AMA.
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IME rates have increased to $600.00 for the first hour and $150.00 for each additional 15 minutes. Use state-specific code IME01 when billing for IME.
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Physician Testimony/Deposition rates have increased to $600.00 for the first hour and $150.00 for each additional 15 minutes.
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Translation/Interpretation for physician and PE use during face-to-face Evaluation and Management visits use state-specific modifier TR. See detailed information in Section IV, pages 11 and 12 of April 1, 2009 fee schedule.
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Transportation - Ambulance and Air Services has been added to the fee schedule.
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Non-Emergency Transportation reimbursements have increased by 1.7%.
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Anesthesia base rate has been increased to $35.63.
- Home Health Services hourly rates have increased by 1.7%.
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State-specific modifier -TR has been added in circumstances where an interpreter/translator is required during a face-to-face E/M services provided by a physician or PE.
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Medical Record copy reimbursement remains unchanged from 2008.
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Pharmacy reimbursement remains unchanged from 2008.
April 1, 2009 Medical Fee Schedule - Binder