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Dangerous Devices and DMEPOS Billing

For California workers' comp billing, the only DMEPOS that require invoices are dangerous devices.

The definition of dangerous device is set forth in California Business and Professions Code Section 4022:

Definition of dangerous devices

The DME fee schedule allows for documented paid costs when reimbursing for dangerous devices as referenced in statute 5307.1.

Per Statute 5307.1 reimbursement for dangerous devices shall not exceed either:

  1. The amount allowed per the fee schedule; or
  2. 120% of the documented paid cost, not to exceed more than 100 percent of the documented paid plus $250.

California Labor Codes

§ 5307.1

California Code of Regulations (CCR)

§ 9789.60 Durable Medical Equipment, Prosthetics, Orthotics, Supplies

Division of Workers’ Compensation Websites

DWC FAQ - About durable medical equipment (DME) dispensed by physician

DWC Official Medical Fee Schedule

DaisyBill Solution

DaisyBill’s easy billing software guarantees that workers’ comp bills are always submitted compliantly. For more information about California’s workers’ comp electronic billing, book a demo and see how easily DaisyBill solves workers' comp billing problems.

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