Workers Compensation » WC Fee Schedules



State mandated medical fee schedules for WC. Not all states provide online access to their fee schedules. For those states, information is provided as to where to order their fee schedules. Note the short description under the title with (fees) - indicating these must be purchased elsewhere. A few states (such as Tennessee) base their computation of WC fee schedules on Medicare rates which are available in our www.rmLibrary.com in the Managed Care - Medical Costs section under Medicare Payment Systems. You must conduct the calculations yourself. They are not provided for you. The following states allow payment of Workers' Compensation claims at usual and customary rates: District of Columbia, Indiana, Iowa, Missouri, New Hampshire, New Jersey, Virginia, Wisconsin

There are 5 other categories related to Workers Compensation / WC Fee Schedules in the Libraries & Directories.

AL-Alabama WC Provider Fee Schedules [23703]
Information on how to order (fees) the fee schedules - not online

AR-Arkansas: WC Medical Fees Schedule [11194]
Rule 30 Medical Fee Schedule

Attorney Fees in Workers Compensation [pdf] [30017]
A chart of state WC laws that affect attorney fees for claimants

AZ-Arizona WC Fee Schedule [27197]
Online access

CA-California WC Official Medical Fee Schedule [30037]
Physician services fee schedules

CA-California: WC Medical Fee Schedules [11196]
For ambulance fees, inpatient, outpatient, laboratory, pharmaceuticals and physician services

CO-Colorado: WC Medical Fee Schedule [11199]
The text of Rule 18 which contains the Medical Fee Schedule for WC in Colorado

CT-Connecticut WCC Official Connecticut Practitioner Fee Schedule [27190]
Ordering information only (fees) - not online

DE-Delaware Workers Compensation Fee Schedule [34445]
Contains the official Delaware Office of Workers’ Compensation Health Care fee schedule

Updated FL-Florida WC Health Care Provider Fee for Service Reimbursement Manual [19926]
Reimbursement policies and maximum reimbursable allowances by CPT code

FL-Florida WC Reimbursement Manual for Hospitals [11250]
Full text of the manual

GA-Georgia Workers’ Compensation Medical Fee Schedule [27191]
Ordering information only (fees) - not online

HI-Hawaii Disability Compensation Medical Fee Schedule [15515]
The WC medical fee schedule for the state of Hawaii

HI-Hawaii WC Medical Fee Schedule [pdf] [29643]
Text of fee schedules

Updated ID-Idaho WC Fee Schedule [xls] [27505]
Listed by CPT code for physician charges

Updated ID-Idaho WC Medical Fee Schedule [31718]
The text of the fee schedules as well as the rules and regulations governing them

Updated ID-Idaho WC Medical Fee Schedule Rules [pdf] [29170]
Applicable to all workers’ compensation medical services provided on or after May 8, 2009

IL-Illinois WC Fee Schedule [27507]
Access the fee schedule online

KS-Kansas WC Medical Fee Schedule [23183]
Download the fee schedule for workers compensation

Updated KY-Kentucky WC Medical Fee Schedules [23704]
Ordering information is provided (fees) - not online - some additional info available

Updated LA-Louisiana WC CPT Codes - 2000 Update & Rehabilitation Services Fee Schedule [35001]
Contains the CPT numeric identifying codes and modifier for reporting medical services and procedures

Updated MA-Massachusetts Worker's Compensation Fee Schedules [20455]
Fee schedules for workers compensation in MA

MD-Maryland WC Medical Fee Schedule [22408]
Reimbursement guidance - based on Medicare rates

ME-Maine: WC Medical Fee Schedules [11216]
Medical fee schedule for the State of Maine

MI-Michigan WC Health Care Services Fee Schedule [15260]
Access to the entire fee schedule

Updated MN-Minnesota WC Medical Fee Schedule [23705]
Access the medical fee schedule and obtain the conversion factors

Updated MS-Mississippi WC Medical Fee Schedule FAQ [15301]
Answers common questions related to medical fee schedules in Mississippi

Updated MS-Mississippi: WC Medical Fee Schedules [11223]
Download hospital addendum & medical fee schedule

New MT-Montana Facility Fee Schedule [35622]
Access to the schedule

MT-Montanta WC Fee Schedule Conversion Factors and Discount Rates [15304]
Fee schedules to reimburse non-hospital providers &discount factors used for reimbursing hospitals

NC-North Carolina Industrial Commission Medical Fee Schedule [15312]
Access to the medical fee schedule for WC in North Carolina

ND-North Dakota WC Medical Services Fee Schedules [15318]
Download North Dakota's WC medical fee schedules

NE-Nebraska WC Fee Schedules [23706]
Medical Services Fee Schedule, Hospital & Ambulatory Surgery, Implantable Medical Device, DRG Inpatient Hospital Fees

Updated NM-New Mexico WC Physicians Fee Schedule [23164]
Text of the workers compensastion fee schedule for New Mexico

NV-Nevada WC Medical Fee Schedules [15334]
Download updates to the medical fee schedules for the state of Nevada

Updated NY-New York WC Medical Fee Schedules [14959]
Inpatient & Outpatient Medical, Dental, Pharmacy, Durable Medical Goods and Equipment, Medicaid Pharmacy Formulary Files

OH-Ohio: WC Provider Fee Schedule [11246]
Input CPT codes and modifiers to obtain fees

OK-Oklahoma WC Schedule of Medical and Hospital Fees [27195]
Text of the WC fee schedule for the State of Oklahoma

New OR-Oregon WC Hospital Fee Schedule [35621]
Apply these ratios to hospital inpatient and outpatient services

Updated OR-Oregon WC Medical Fee and Payment Rules [15341]
Full text of the rules related to Oregon Medical Fee Schedules

OR-Oregon WC Medical Fee Schedule Calculations [34270]
Resources for calculating the Fee Schedule

OWCP Medical Fee Schedule [28782]
Applies to FECA, EEOIC and LHWCA; a modified version is used for the FBLBA

PA-Pennsylvania Charge Classes by Zip Code [23215]
The major users for this list are those who reprice medical bills to the workers' compensation fee schedule

PA-Pennyslvania: WC Fee Schedule [11253]
Workers' Compensation Fee Schedule for Part A (Tables A through H) and Part B medical providers

RI-Rhode Island Workers Compensation Medical Schedule [15327]
Ordering information only (fees)

SC-South Carolina WC Fee Schedules [27196]
Text of the Hospital and Ambulatory Surgical Center Payment Manual

Updated SD-South Dakota WC Physicians Fee Schedule [23216]
Access to the rules and medical fee schedule for workers compensation in SD

TN-Tennessee WC Medical Fee Schedule [pdf] [27504]
Explains the Medicare-based system with multiple conversion factors

TX-Texas WC Medical and Facility Fees Information [29057]
Medical fee guideline rules, advisories, training module, general information

TX-Texas Workers Compensation Fee Guidelines [22099]
Hospital Fee Guidelines, Medical Fee Guidelines, Ambulatory Surgical Center Fee Guidelines

Updated UT-Utah WC Medical Fee Guidelines [pdf] [23220]
Text of Utah Labor Commission's Medical Fee Schedule

VA-Virginia WC Rule Regarding Reimbursements [24322]
Explains how charges are calculated

VT-Vermont: Workers Compensation Fee Schedule, Rule 40 [11263]
Text of the Vermont WC Fee Schedule

WA-Washington WC Fee Schedules [5302]
Contains the department’s rules, payment policies and CPT & HCPCS fee schedules

WI-Wisconsin Hospital Radiology Databases [894]
Fees by CPT Code for hospital radiology WC charges

Updated WV-West Virginia Workers Compensation Fees & Schedules [29891]
Billing essentials and coding

WY-Wyoming WC Fee Schedules [23226]
Wyoming WC rules and regulations and reimbursement rates related to Fee Schedules




Related Categories within The Safety Library


View All Related Categories throughout the Libraries & Directories


Workers Compensation / WC Managed Care
Guidance on managed care in workers compensation to control medical costs



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