Frequently Asked Questions
Are splinting and casting codes included in the DMEPOS fee schedule for work comp?
ANSWER: As of 4/1/2014, the workers' comp DMEPOS fee schedule includes splinting and casting codes. These splinting and casting codes are commonly referred to as Q codes.
Prior to April 1st, splinting and casting was reimbursed using the physician fee schedule of the OMFS. On April 1st, Medicare folded splinting and casting codes into its DMEPOS fee schedule, and the DWC adopted that change for dates of service as of April 1st.
From the Update Table:
Remember, that DMEPOS is reimbursed at 120% of the CMS Medicare DME fee schedule, therefore, incorporation of the splinting and casting codes into the DMEPOS fee schedule resulted in reimbursements increasing 20% for dates of service as of 4/1/2014.
Example: 3 Q Codes
In the examples below, the change is reflected in the DaisyBill OMFS Calculator: the first example shows reimbursement for 3 Q codes as 1/1/2014 while the second example shows reimbursement for the same 3 Q codes as of 4/1/2104.
Division of Workers’ Compensation Websites
For the easiest way to keep up with California fee schedules and rule changes, sign up for the DaisyBill Calculator. Click below for a FREE three day trial and start easy calculations today.
Was this article helpful?
DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.
Drop us a line with any news you would like us to share or any issue that concerns you.