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§ 9789.19 Update Table

Summary

The Update Table maintains all of the reference materials used by the fee schedule regulations, including calculation values used to determine the base maximum fees.

Because the Update Table contains so much information, it’s helpful to be familiar with the regulations.

To save time, use DaisyBill’s Work Comp Wizard to quickly and easily calculate fees.

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Where can I find the Update Table?

Step 1. Go to the DWC’s Official Medical Fee Schedule (OMFS) Page

Step 2. From Official Medical Fee Schedule (OMFS) Page → Click ‘Physician services’

Step 3. Click Word or PDF Document to Download the Regulations

Step 4. To Find the Update Table → Scroll to Section 9789.19

How do I navigate the Update Table?

Where can I find the Medicare Physician Time File?

Step 1. From the Update Table → Click ‘Physician Time’ Link

Step 2. Download ‘CY 2014 PFS Final Rule Physician Time’

California Code of Regulations (CCR)

Division of Workers’ Compensation Websites

DaisyBill Solution

Where can I find the Update Table?

To find the fee schedule regulations and the Update Table, follow the instructions below.

Step 1. Go to the DWC’s Official Medical Fee Schedule (OMFS) Page

To find California's new RBRVS-based fee regulations and fee schedules, access the Department of Industrial Relations Official Medical Fee Schedule (OMFS) website.

Step 2. From Official Medical Fee Schedule (OMFS) Page → Click ‘Physician services’

' California OMFS Workers’ Comp]
Step 3. Click Word or PDF Document to Download the Regulations

' California OMFS Workers’ Comp, Physician Services]

Step 4. To Find the Update Table → Scroll to Section 9789.19

The Update Table is located in Section 9789.19, beginning on page 51 of the clean copy of the regulations.

' California OMFS Workers’ Comp, Update Table]

How do I navigate the Update Table?

The Update Table contains three subsections.  

  1. Subsection A contains the reference documents for dates of service on or after 1/1/2014 through 2/28/2015.
  2. Subsection B contains the reference documents for dates of service on or after March 1st, 2015 through December 31, 2015.
  3. Subsection C contains the reference documents for dates of service on or after January 1st, 2016.

Where can I find the Medicare Physician Time File?

For California Workers' Comp, the Medicare Physician Time File is used to determine how many, if any, E&M visits are reimbursable in the global period.

The Medicare Physician Time File is located in the Update Table, in the entry labeled: Physician Time.

Step 1. From the Update Table → Click ‘Physician Time’ Link

Step 2. Download ‘CY 2014 PFS Final Rule Physician Time’

On the CMS Medicare site, download the proper file as indicated in the Update Table (indicated below by the pink arrow).

California Code of Regulations (CCR)

§ 9789.19 Update Table

Division of Workers’ Compensation Websites

Official Medical Fee Schedule

DaisyBill Solution

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OMFS Calculator

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