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

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