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§ 9789.12.10 Coding; Current Procedural Terminology©, Fourth Edition

Summary

For medical services rendered on and after January 1st, 2014, the RBRVU Physician Fee schedule consists of 48 Regulations. Knowing and understanding these additional fee-affecting regulations is critical to determining the correct reimbursement for services.

Per section 9789.12.10, the AMA’s Current Procedural Terminology (CPT) is applicable to all bills submitted, except:

  • when the Physician Fee Schedule conflicts with the CPT, the fee schedule will take precedence over the CPT, and
  • as otherwise specified in the regulations.

Copies of Current Procedural Terminology, Fourth Edition may be purchased from the American Medical Association.

California Code of Regulations (CCR)

§ 9789.12.10 Coding; Current Procedural Terminology©, Fourth Edition

Division of Workers’ Compensation Websites

Official Medical Fee Schedule

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