Frequently Asked Questions
§ 9789.12.10 Coding; Current Procedural Terminology©, Fourth Edition
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)
Division of Workers’ Compensation Websites
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