ASK A QUESTION

§ 9789.12.15 California Specific Modifiers

Summary

A modifier -30 is a situational billing element which alerts when a consultation is required for a Medical-Legal Evaluation.

For Medical-Legal consultations, per section 9789.12.15, the following modifier is to be appended to the applicable CPT Code or California Specific Code:

  • -30 Consultation Service During Medical Legal Evaluation: Services or procedures performed by a consultant at the request of a QME or AME in the context of a medical-legal evaluation where those services are paid under the Physician Fee Schedule.

California Code of Regulations (CCR)

§ 9789.12.15 California Specific Modifier

Division of Workers’ Compensation Websites

Official Medical Fee Schedule

DaisyBill Solution

Technology is your friend when it comes to calculating correct fee schedule reimbursements. DaisyBill integrates California Specific modifiers into the OMFS Calculator.

Sign up for the DaisyBill Work Comp Wizard and instantly start billing easier. Click below for a FREE three day trial and start easy calculations today.

Try the DaisyBill
OMFS Calculator

Was this article helpful?

Search results for: